-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, BtvGla+U/zJ6yAMDhZEk9lehrs62Kqyup6TAqx9OSCim4P9N0pm6SoO0/Pv/2m1S soNF5P16ZT32fLR2COY0Mg== 0000877860-04-000071.txt : 20041230 0000877860-04-000071.hdr.sgml : 20041230 20041230152741 ACCESSION NUMBER: 0000877860-04-000071 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041230 FILED AS OF DATE: 20041230 DATE AS OF CHANGE: 20041230 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ADAMS ROBERT G CENTRAL INDEX KEY: 0001012855 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10822 FILM NUMBER: 041233947 BUSINESS ADDRESS: BUSINESS PHONE: 6158902020 MAIL ADDRESS: STREET 1: P.O. BOX 1398 CITY: MURFREESBORO STATE: TN ZIP: 37133-1398 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NATIONAL HEALTH INVESTORS INC CENTRAL INDEX KEY: 0000877860 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798] IRS NUMBER: 621470956 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 100 VINE ST STE 1400 STREET 2: CITY CENTER CITY: MURFREESBORO STATE: TN ZIP: 37130 BUSINESS PHONE: 6158909100 MAIL ADDRESS: STREET 1: P.O. BOX 1102 CITY: MURFREESBORO STATE: TN ZIP: 37133-1102 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2004-12-30 0000877860 NATIONAL HEALTH INVESTORS INC NHI 0001012855 ADAMS ROBERT G 100 VINE ST., SUITE 1400 MURFREESBORO TN 37130 0 1 0 0 Vice President Shares of Common Stock 2004-12-30 4 M 0 6896 14.50 A 256802 D Shares of Common Stock 32826 I Family Partnership Shares of Common Stock 20000 I Trustee of CLAT Shares of Common Stock 71994 I Partnership Option to Purchase Common Stock 14.50 2004-12-30 4 M 0 6896 14.50 D 1999-10-26 2005-10-25 Common Stock 20000 13104 D Robert G. Adams 2004-12-30 -----END PRIVACY-ENHANCED MESSAGE-----