0001127602-17-008260.txt : 20170224
0001127602-17-008260.hdr.sgml : 20170224
20170224172646
ACCESSION NUMBER: 0001127602-17-008260
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170222
FILED AS OF DATE: 20170224
DATE AS OF CHANGE: 20170224
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
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: 17638693
MAIL ADDRESS:
STREET 1: P.O. BOX 1398
CITY: MURFREESBORO
STATE: TN
ZIP: 37133-1398
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2017-02-22
0000877860
NATIONAL HEALTH INVESTORS INC
NHI
0001012853
ADAMS W ANDREW
222 ROBERT ROSE DRIVE
MURFREESBORO
TN
37129
1
Common Stock
9109
D
Common Stock - held by Spouse
11707
I
Common Stock held by Spouse
Common Stock By Adams Family Foundation II
222307
I
Trustee
Common Stock By Amk, L.p.
732784
D
Common Stock by EMA, L.P.
341802
I
Trustee
Common Stock by JMA Grandchildren's Trust
12635
I
Trustee
Common Stock By Springland Ventures, L.p.
44000
D
Common Stock by W. Andrew Adams Exempt Trust
7411
D
Common Stock by W. Andrew Adams Non Exempt Trust
34140
D
Stock Option Grant - 2-22-17
74.78
2017-02-22
4
A
0
20000
74.78
A
2017-02-22
2022-02-22
Common Stock
20000
20000
D
Stock Options (Right to Buy)
64.49
2013-02-25
2018-02-25
Common Stock
15000
15000
D
Stock Options (Right to Buy) 2-25-14
61.31
2014-02-25
2019-02-25
Common Stock
15000
15000
D
Stock Options (Right to Buy)
72.11
2015-02-20
2020-02-20
Common Stock
20000
20000
D
Stock Options (Right to Buy)
60.52
2016-02-22
2021-02-22
Common Stock
20000
20000
D
Adjusted total to reflect 3,702 shares erroneously reported as held in non-exempt trust.
/s/W. Andrew Adams
2017-02-23