-----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, P6Rw9WJ1+igQiRxrlTmlZGG2qc1OYyTA6FxsqnC3eIw/nomTSBAF1dcqpqjimddB Qq6J4RjSxtGa99RXzOk4nw== 0000877860-05-000053.txt : 20050505 0000877860-05-000053.hdr.sgml : 20050505 20050505170741 ACCESSION NUMBER: 0000877860-05-000053 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050503 FILED AS OF DATE: 20050505 DATE AS OF CHANGE: 20050505 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10822 FILM NUMBER: 05804456 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 2005-05-03 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. 38898 I Family Partnership Common Stock by Trustee of G.R.A.T. 32951 I Trustee Common Stock by LaRoche Enterprises 462519 D Common Stock by IRA 8208 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 Option to Purchase Common Stock 26.78 2005-05-03 4 A 0 15000 26.78 A 2005-05-03 2010-05-02 Common Stock 15000 15000 D Richard F. LaRoche, Jr. 2005-05-05 -----END PRIVACY-ENHANCED MESSAGE-----