0001127602-13-008363.txt : 20130227
0001127602-13-008363.hdr.sgml : 20130227
20130227180307
ACCESSION NUMBER: 0001127602-13-008363
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130225
FILED AS OF DATE: 20130227
DATE AS OF CHANGE: 20130227
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: 13648268
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
X0306
4
2013-02-25
0000877860
NATIONAL HEALTH INVESTORS INC
NHI
0001012853
ADAMS W ANDREW
222 ROBERT ROSE DRIVE
MURFREESBORO
TN
37129
1
Common Stock - held by Spouse
9707
I
Common Stock held by Spouse
Common Stock By Amk, L.p.
732784
D
Common Stock By Springland Ventures, L.p.
44000
D
Common Stock by W. Andrew Adams Non Exempt Trust
34140
D
Common Stock by W. Andrew Adams Exempt Trust
7411
D
Common Stock By Adams Family Foundation II
222307
I
Trustee
Common Stock by EMA, L.P.
341802
I
Trustee
Common Stock by JMA Grandchildren's Trust
12635
I
Trustee
Stock Options (Right to Buy)
64.49
2013-02-25
4
A
0
15000
64.49
A
2013-02-25
2018-02-25
Common Stock
15000
15000
D
Stock Options (Right to Buy)
45.58
2011-02-22
2016-02-22
Common Stock
15000
15000
D
Stock Options (Right to Buy)
47.52
2012-02-21
2017-02-21
Common Stock
15000
15000
D
Shares previously held in W. Andrew Adams Exempt & Non Exempt Trust divided into two separate accounts - W. Andrew Adams Exempt Trust and W. Andrew Adams Non Exempt Trust. The total remains the same.
/s/W. Andrew Adams
2013-02-26