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