0001127602-19-003201.txt : 20190131 0001127602-19-003201.hdr.sgml : 20190131 20190131163351 ACCESSION NUMBER: 0001127602-19-003201 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190129 FILED AS OF DATE: 20190131 DATE AS OF CHANGE: 20190131 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: 19556271 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 2019-01-29 0000877860 NATIONAL HEALTH INVESTORS INC NHI 0001012853 ADAMS W ANDREW 222 ROBERT ROSE DRIVE MURFREESBORO TN 37129 1 Common Stock 2019-01-29 4 M 0 15000 61.31 A 24109 D Common Stock 2019-01-29 4 F 0 11322 81.23 D 12787 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 Options (Right to Buy) 2-25-14 61.31 2019-01-29 4 M 0 15000 0 D 2014-02-25 2019-02-25 Common Stock 15000 0 D Stock Option Grant - 2-22-17 74.78 2017-02-22 2022-02-22 Common Stock 20000 20000 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 Stock Options (Right to Buy) 2-20-18 64.33 2018-02-20 2023-02-20 Common Stock 20000 20000 D /s/W. Andrew Adams 2019-01-30