-----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, Oj/pcueMH7t+JdnCeB6NWIDYANd7srCDDl5P/udb0kxRTEYunHPaKpsXlKTqezFD m1Re9VqbWcyTs4tJtKndTA== 0001127602-10-010467.txt : 20100405 0001127602-10-010467.hdr.sgml : 20100405 20100405154206 ACCESSION NUMBER: 0001127602-10-010467 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100401 FILED AS OF DATE: 20100405 DATE AS OF CHANGE: 20100405 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: 10731042 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 2010-04-01 0000877860 NATIONAL HEALTH INVESTORS INC NHI 0001012853 ADAMS W ANDREW 222 ROBERT ROSE DRIVE MURFREESBORO TN 37129 1 1 Chief Executive Officer Common Stock 2010-04-01 4 M 0 6666 25.29 A 6666 I Common Stock held by Spouse Common Stock 2010-04-01 4 S 0 4350 38.76 D 2316 I Common Stock held by Spouse Common Stock By Adams Family Foundation II 222307 I Trustee Common Stock By Amk, L.p. 722856 D 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 Common Stock By The Adams Group L.p. 1504405 D Stock Options (Right to Buy) 25.29 2010-04-01 4 M 0 6666 0 D 2009-02-25 2013-02-25 Nhi Common Stock 6666 3334 I Karen Adams Stock Options (Right to Buy) 37.33 2010-03-19 2020-03-19 Nhi Common Stock 65000 65000 D Stock Options (Right to Buy) 34.48 2010-03-02 2020-03-02 Nhi Common Stock 10000 10000 I Karen Adams /s/W. Andrew Adams 2010-04-05 -----END PRIVACY-ENHANCED MESSAGE-----