-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, A/jF+rLM/qibto14ONo/YTOrpKTGF2UA8C1cnFa2OCvmRjw0g7I6rkdLrgeO6iOI udfA82pfHhQPS2MKT3EobA== 0001209191-04-029672.txt : 20040604 0001209191-04-029672.hdr.sgml : 20040604 20040604113107 ACCESSION NUMBER: 0001209191-04-029672 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040602 FILED AS OF DATE: 20040604 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: OLSON WALLACE E CENTRAL INDEX KEY: 0001139389 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12996 FILM NUMBER: 04848968 BUSINESS ADDRESS: STREET 1: 736 GEORGIA AVENUE STREET 2: SUITE 604 CITY: CHATTANOOGA STATE: TN ZIP: 37402 MAIL ADDRESS: STREET 1: 736 GEORGIA AVENUE STREET 2: SUITE 604 CITY: CHATTANOOGA STATE: TN ZIP: 37402 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ADVOCAT INC CENTRAL INDEX KEY: 0000919956 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] IRS NUMBER: 621559667 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 277 MALLORY STATION RD STREET 2: STE 130 CITY: FRANKLIN STATE: TN ZIP: 37067 BUSINESS PHONE: 6157717575 MAIL ADDRESS: STREET 1: 227 MALLORY STATION ROAD STREET 2: SUITE 130 CITY: FRANKLIN STATE: TN ZIP: 37064 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2004-06-02 0 0000919956 ADVOCAT INC AVCA 0001139389 OLSON WALLACE E 736 GEORGIA AVENUE SUITE 604 CHATTANOOGA TN 37402 1 0 1 0 Common Stock 2004-06-02 2004-06-02 4 M 0 15000.0000 0.2500 A 640200.0000 D Options to Purchase Common Stock 0.2500 2004-06-02 2004-06-02 4 M 0 15000.0000 0 D 2012-03-20 Common Stock 15000.0000 0 D Of the 640,200 shares owned by Mr. Olson, 1,300 shares are owned jointly with his daughter and 638,900 shares are owned by a partnership controlled by Mr. Olson. Options granted pursuant to the 1994 Nonqualified Stock Option Plan for Directors. 1/3 vested immediately, 1/3 vested on the first anniversary and the remaining 1/2 vested on the second anniversary. /s/ Wallace E. Olson 2004-06-04 -----END PRIVACY-ENHANCED MESSAGE-----