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