0001209191-11-050155.txt : 20111004 0001209191-11-050155.hdr.sgml : 20111004 20111004155645 ACCESSION NUMBER: 0001209191-11-050155 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20110930 FILED AS OF DATE: 20111004 DATE AS OF CHANGE: 20111004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: McCurdy Chad A. CENTRAL INDEX KEY: 0001429866 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12996 FILM NUMBER: 111123498 MAIL ADDRESS: STREET 1: 1621 GALLERIA BLVD CITY: BRENTWOOD STATE: TN ZIP: 37027 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: 1621 GALLERIA BLVD. CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 6157717575 MAIL ADDRESS: STREET 1: 1621 GALLERIA BLVD. CITY: BRENTWOOD STATE: TN ZIP: 37027 4 1 doc4.xml FORM 4 SUBMISSION X0304 4 2011-09-30 0 0000919956 ADVOCAT INC AVCA 0001429866 McCurdy Chad A. 1621 GALLERIA BLVD BRENTWOOD TN 37027 1 0 1 0 Common Stock 250 D Common Stock 105000 I Jointly Held with Spouse Common Stock 1017600 I Owned by Marlin Capital Partners, LLC Common Stock 5000 I Owned by Dependent Child Common Stock 14200 I In IRA Dividend Equivalent Rights on 2011 Restricted Stock 2011-09-30 4 A 0 2.32 0.00 A Common Stock 2.32 6.24 D Stock Settled Stock Appreciation Right 5.45 2020-06-18 Common Stock 1000 1000 D Stock Settled Stock Appreciation Right 2.37 2019-03-13 Common Stock 1000 1000 D Stock Options (right to buy) 10.80 2018-03-12 Common Stock 15000 15000 D Mr. McCurdy is the Managing Partner of Marlin Capital Partners, LLC. This reporting person disclaims beneficial ownership of shares held by his child except to the extent of his pecuniary interest therein. These dividend equivalent rights accrued on shares of restricted stock granted on March 11, 2011 and will vest as the underlying shares vest. Vests 1/3 on the first anniversary of the date of grant, 1/3 on the second anniversary of the date of grant, and 1/3 on the third anniversary of the date of grant. /s/ L. Glynn Riddle, Jr., Attorney-In-Fact for Chad A. McCurdy 2011-10-04 EX-24.4_393317 2 poa.txt POA DOCUMENT POWER OF ATTORNEY Know all by these presents, that the undersigned hereby constitutes and appoints each of Jonathan D. Stanley, L. Glynn Riddle and William R. Council signing singly, the undersigned's true and lawful attorney-in-fact to: (1) execute for and on behalf of the undersigned, in the undersigned's capacity as an officer and/or director of Advocat Inc. (the "Company"), Forms 3, 4, and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder; (2) do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4, or 5, complete and execute any amendment or amendments thereto, and timely file such form with the United States Securities and Exchange Commission and any stock exchange or similar authority; (3) execute for and on behalf of the undersigned a Form ID and any subsequent filings, submissions or correspondence relating thereto; and (4) take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's discretion. The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934. This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4, and 5 with respect to the undersigned's holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact. IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 24th day of March, 2008. /s/ Chad A. McCurdy Signature Chad A. McCurdy Print Name