-----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, CkNGc2q9mdqwNvl5qInZ8fiorLOGjdr63i+RPtH8S0oLe+y0V+hB81lsFr33ODUF tybwd1VOxeI//RTVsQA46A== 0001127602-09-025385.txt : 20091216 0001127602-09-025385.hdr.sgml : 20091216 20091216162830 ACCESSION NUMBER: 0001127602-09-025385 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091214 FILED AS OF DATE: 20091216 DATE AS OF CHANGE: 20091216 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ADAMS W ANDREW CENTRAL INDEX KEY: 0001012853 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: 091244860 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: 222 ROBERT ROSE DRIVE CITY: MURFREESBORO STATE: TN ZIP: 37129 BUSINESS PHONE: 6158909100 MAIL ADDRESS: STREET 1: 222 ROBERT ROSE DRIVE CITY: MURFREESBORO STATE: TN ZIP: 37129 4 1 form4.xml PRIMARY DOCUMENT X0303 4 2009-12-14 0000877860 NATIONAL HEALTH INVESTORS INC NHI 0001012853 ADAMS W ANDREW 222 ROBERT ROSE DRIVE MURFREESBORO TN 37129 1 1 Chief Executive Officer Common Stock By Amk, L.p. 2009-12-14 4 D 0 21600 35.11 D 742856 D Common Stock By Amk, L.p. 2009-12-16 4 D 0 20000 36.01 D 722856 D Common Stock By Adams Family Foundation II 222307 I Trustee Common Stock By Children & Grandchildren's Trust 69705 I Trustee Common Stock by EMA, L.P. 338552 D Common Stock By Springland Ventures, L.p. 44000 D /s/W. Andrew Adams 2009-12-16 -----END PRIVACY-ENHANCED MESSAGE-----