0001437749-21-006747.txt : 20210322
0001437749-21-006747.hdr.sgml : 20210322
20210322155549
ACCESSION NUMBER: 0001437749-21-006747
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210318
FILED AS OF DATE: 20210322
DATE AS OF CHANGE: 20210322
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SMITH JEFFREY RUSSELL
CENTRAL INDEX KEY: 0001694452
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13489
FILM NUMBER: 21761285
MAIL ADDRESS:
STREET 1: 100 VINE ST.
CITY: MURFREESBORO
STATE: TN
ZIP: 37130
FORMER NAME:
FORMER CONFORMED NAME: SMITH JEFFREY R
DATE OF NAME CHANGE: 20170111
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
4
1
rdgdoc.xml
FORM 4
X0306
4
2021-03-18
0001047335
NATIONAL HEALTHCARE CORP
NHC
0001694452
SMITH JEFFREY RUSSELL
100 VINE STREET
MURFREESBORO
TN
37130
1
SVP & Treasurer
Shares of Common Stock held in my name
2021-03-18
4
M
0
46630
72.74
A
49897
D
Shares of Common Stock held in my name
2021-03-18
4
F
0
43811
79.21
D
6086
D
Option to Purchase Common Stock
72.94
2021-03-18
4
M
0
46630
0
D
2022-02-09
2022-03-11
Common Stock
48000
1370
D
These stock options were granted pursuant to the 2010 Omnibus Equity Incentive Plan on May 9, 2017. On February 11, 2021, the Compensation Committee amended the option to grant the ability to exercise up to 100% of this option, with any shares issued upon exercise to be held as restricted stock until February 9, 2022, the original vesting date. The grant and exercise of these stock options are exempt from Section 16(b) pursuant to Rule 16b-3(d).
Shares were withheld by the Company to pay the exercise price and withholding tax obligations.
Total amount of shares beneficially owned following transactions reported on this form.
/s/ Jeffrey Russell Smith
2021-03-22