0001437749-20-001934.txt : 20200206 0001437749-20-001934.hdr.sgml : 20200206 20200206181616 ACCESSION NUMBER: 0001437749-20-001934 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191231 FILED AS OF DATE: 20200206 DATE AS OF CHANGE: 20200206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LAROCHE RICHARD F JR CENTRAL INDEX KEY: 0001012859 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13489 FILM NUMBER: 20584023 MAIL ADDRESS: STREET 1: P.O. BOX 1398 CITY: MURFREESBORO STATE: TN ZIP: 37133-1398 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NATIONAL HEALTHCARE CORP CENTRAL INDEX KEY: 0001047335 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] IRS NUMBER: 522057472 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 100 E. VINE ST CITY: MURFREESBORO STATE: TN ZIP: 37130 BUSINESS PHONE: 6158902020 MAIL ADDRESS: STREET 1: 100 E. VINE ST CITY: MURFREESBORO STATE: TN ZIP: 37130 5 1 rdgdoc.xml GIFT X0306 5 2019-12-31 0 0 0001047335 NATIONAL HEALTHCARE CORP NHC 0001012859 LAROCHE RICHARD F JR 100 VINE STREET MURFREESBORO TN 37130 1 Common Stock - Held in my name or my wife's name 2019-12-31 5 G 0 15000 0 D 178720 D Common Stock - Family LP (BFLP) 29523 D Common Stock - Fam. Partnership (LR Ent.) 31698 D Common Stock - Fam. Partnership (LFLP) 96000 D Option to Purchase Common Stock 61.2500 2015-05-07 2020-05-06 Common Stock 7500 7500 D Option to Purchase Common Stock 62.7800 2016-06-02 2021-06-01 Common Stock 7500 7500 D Option to Purchase Common Stock 72.9400 2017-05-09 2022-05-08 Common Stock 7500 7500 D Option to Purchase Common Stock 61.9000 2018-05-03 2023-05-02 Common Stock 7500 7500 D Option to Purchase Common Stock 77.9200 2019-05-09 2024-05-08 Common Stock 7500 7500 D /s/ Richard F. LaRoche Jr., by Kristina R. Hulsey, P.O.A. 2020-02-06