-----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, I3D4Nt2x33sq1CPje7/lWfMeXNR8O6Q8ChHOaJSfrq8xQBBrFHuvO97fLHWWHoZV vwJfPNNZ/7ZKq4EZlWvFXw== 0001127602-10-011130.txt : 20100415 0001127602-10-011130.hdr.sgml : 20100415 20100415152508 ACCESSION NUMBER: 0001127602-10-011130 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090324 FILED AS OF DATE: 20100415 DATE AS OF CHANGE: 20100415 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/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-10822 FILM NUMBER: 10751882 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/A 1 form4a.xml PRIMARY DOCUMENT X0303 4/A 2009-03-24 2010-03-19 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 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 Stock Options (Right to Buy) 25.29 2009-03-24 4 A 0 10000 25.29 A 2009-02-25 2013-02-25 Nhi Common Stock 10000 10000 I Karen Adams Stock Options (Right to Buy) 34.48 2010-03-02 4 A 0 10000 34.48 A 2010-03-02 2020-03-02 Nhi Common Stock 10000 10000 I Karen Adams Stock Options (Right to Buy) 37.33 2010-03-19 4 A 0 65000 37.33 A 2010-03-19 2020-03-19 Nhi Common Stock 65000 65000 D The Form 4 filed on 3/19/10 erroneously listed 1,504,405 shares held by The Adams Group, L.P. Mr. Adams has no direct or indirect ownership of these shares. /s/W. Andrew Adams 2010-04-15 -----END PRIVACY-ENHANCED MESSAGE-----