-----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, V5x1ZACprHjsKOIyrc5zxw762B3yCNv/KyZ0OAH3l8a5WCpRkHmLNT5tUVxmNLWd 9j7Ky20jXpMMSJW+toAB+g== 0000877860-05-000010.txt : 20050113 0000877860-05-000010.hdr.sgml : 20050113 20050113164739 ACCESSION NUMBER: 0000877860-05-000010 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041231 FILED AS OF DATE: 20050113 DATE AS OF CHANGE: 20050113 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: 001-10822 FILM NUMBER: 05528581 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 5 1 edgar.xml PRIMARY DOCUMENT X0202 5 2004-12-31 0 0 0000877860 NATIONAL HEALTH INVESTORS INC NHI 0001012859 LAROCHE RICHARD F JR 2103 SHANNON DRIVE MURFREESBORO TN 37129 1 1 0 0 Secretary Common Stock in my name and my wife's name 900 D Common Stock by LaRoche Family L.P. 2004-10-18 5 G 0 16000 0 D 38898 I Family Partnership Common Stock by Trustee of GRAT 32951 D Common Stock by IRA 8208 D Common Stock by LaRoche Enterprises 449414 D Option to purchase Common Stock 14.50 1999-10-27 2005-10-26 Common Stock 13105 13105 D Option to purchase Common Stock 16.35 2003-04-24 2008-04-23 Common Stock 15000 15000 D Option to purchase Common Stock 23.90 2004-04-20 2009-04-19 Common Stock 15000 15000 D Richard F. LaRoche, Jr. 2005-01-13 -----END PRIVACY-ENHANCED MESSAGE-----