0001127602-21-021721.txt : 20210708
0001127602-21-021721.hdr.sgml : 20210708
20210708160133
ACCESSION NUMBER: 0001127602-21-021721
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210706
FILED AS OF DATE: 20210708
DATE AS OF CHANGE: 20210708
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: 211080190
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
2021-07-06
0000877860
NATIONAL HEALTH INVESTORS INC
NHI
0001012853
ADAMS W ANDREW
222 ROBERT ROSE DRIVE
MURFREESBORO
TN
37129
1
Common Stock By Adams Family Foundation II
2021-07-06
5
G
0
E
45307
D
177000
I
Trustee
Common Stock
19169
D
Common Stock By Amk, L.p.
759784
D
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
Common Stock - held by Spouse
11707
I
Common Stock held by Spouse
Stock Options (Right to Buy) 2-25-2021
69.20
2021-02-25
2026-02-25
Common Stock
25000
25000
D
Stock Options (Right to Buy) 2-21-2020
90.79
2020-02-21
2025-02-21
Common Stock
25000
25000
D
Stock Option Grant 2-21-19
79.96
2019-02-21
2024-02-21
Common Stock
25000
25000
D
Stock Options (Right to Buy) 2-20-18
64.33
2018-02-20
2023-02-20
Common Stock
20000
20000
D
Stock Option Grant - 2-22-17
74.78
2017-02-22
2022-02-22
Common Stock
20000
20000
D
The reported transaction involves a transfer of securities by gift for which no payment of consideration was received by the reporting person.
/s/W. Andrew Adams
2021-07-06