Adams W Andrew - Dec 31, 2021 Form 5 Insider Report for NATIONAL HEALTHCARE CORP (NHC)

Role
Director
Signature
/s/ W. Andrew Adams
Stock symbol
NHC
Transactions as of
Dec 31, 2021
Transactions value $
$0
Form type
5
Date filed
2/16/2022, 04:24 PM
Previous filing
Jul 8, 2021
Next filing
Mar 1, 2022

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
holding NHC Shares of Common Stock - my name or my spouse's name 39K Dec 31, 2021 Direct F1
holding NHC Shares of Common Stock - AdamsMark, L.P. 610K Dec 31, 2021 Direct F1
holding NHC Shares of Common Stock - WAA Exempt Trust 1.84K Dec 31, 2021 Direct F2
holding NHC Shares of Common Stock - Adams Family Foundation II 35.4K Dec 31, 2021 Trustee
holding NHC Shares of Common Stock - Adams Grandchildren's Trust 2.31K Dec 31, 2021 Trustee F3

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
holding NHC Option to Purchase Common Stock 7.5K Dec 31, 2021 Common Stock 7.5K $72.94 Direct
holding NHC Option to Purchase Common Stock 7.5K Dec 31, 2021 Common Stock 7.5K $61.90 Direct
holding NHC Option to Purchase Common Stock 7.5K Dec 31, 2021 Common Stock 7.5K $77.92 Direct
holding NHC Option to Purchase Common Stock 7.5K Dec 31, 2021 Common Stock 7.5K $64.64 Direct
holding NHC Option to Purchase Common Stock 7.5K Dec 31, 2021 Common Stock 7.5K $71.64 Direct
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Amount amended to correct 1,000 shares recorded under the wrong title of security with direct beneficial ownership.
F2 Amount is less 100 shares to correct total number of shares received by the trust pursuant to an "acquisition or disposition by will or the laws of descent and distribution."
F3 Amended to report shares held by the Grandchildren's Trust for which Mr. Adams is the Trustee. Beneficial ownership was inadvertently removed from his previous filings.