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Ownership Document |
Schema Version: X0508 |
Document Type: 4 |
Period of Report: 12/4/23 |
Issuer: |
| Issuer CIK: 1047335 |
| Issuer Name: NATIONAL HEALTHCARE CORP |
| Issuer Trading Symbol: NHC |
Reporting Owner: |
| Reporting Owner ID: |
| | Owner CIK: 1012859 |
| | Owner Name: LAROCHE RICHARD F JR |
| Reporting Owner Address: |
| | Owner Street 1: 100 VINE STREET |
| | Owner Street 2: |
| | Owner City: MURFREESBORO |
| | Owner State: TN |
| | Owner ZIP Code: 37130 |
| | Owner State Description: |
| Reporting Owner Relationship: |
| | Is Director? Yes |
Aff 10b5 One: 0 |
Non-Derivative Table: |
| Non-Derivative Holding: |
| | Security Title: |
| | | Value: Common Stock (held in my name or my wife's name) |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 196,413 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Non-Derivative Holding: |
| | Security Title: |
| | | Value: Common Stock (ROTH IRA) |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 114.8327 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Non-Derivative Holding: |
| | Security Title: |
| | | Value: Common Stock - Family LP (BFLP) |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 30,000 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: I |
| | | Nature of Ownership: |
| Value: GP |
| Non-Derivative Transaction: |
| | Security Title: |
| | | Value: Common Stock - Fam. Partnership (LR Ent.) |
| | Transaction Date: |
| | | Value: 12/4/23 |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: G |
| | | Equity Swap Involved? No |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 3,698 |
| | | Transaction Price Per Share: |
| Value: 0 |
| | | Transaction Acquired-Disposed Code: |
| Value: D |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 28,000 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Non-Derivative Holding: |
| | Security Title: |
| | | Value: Common Stock - Fam. Partnership (LFLP) |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 96,000 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: I |
| | | Nature of Ownership: |
| Value: GP |
Derivative Table: |
| Derivative Holding: |
| | Security Title: |
| | | Value: Option to Purchase Common Stock [2019 Grant] |
| | Conversion or Exercise Price: |
| | | Value: 77.9200 |
| | Exercise Date: |
| | | Value: 5/9/19 |
| | Expiration Date: |
| | | Value: 5/8/24 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Common Stock |
| | | Underlying Security Shares: |
| Value: 7,500 |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 7,500 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Derivative Holding: |
| | Security Title: |
| | | Value: Option to Purchase Common Stock [2020 Grant] |
| | Conversion or Exercise Price: |
| | | Value: 64.6400 |
| | Exercise Date: |
| | | Value: 5/7/21 |
| | Expiration Date: |
| | | Value: 5/6/25 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Common Stock |
| | | Underlying Security Shares: |
| Value: 5,000 |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 5,000 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Derivative Holding: |
| | Security Title: |
| | | Value: Option to Purchase Common Stock [2021 Grant] |
| | Conversion or Exercise Price: |
| | | Value: 71.6400 |
| | Exercise Date: |
| | | Value: 5/6/22 |
| | Expiration Date: |
| | | Value: 5/5/23 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Common Stock |
| | | Underlying Security Shares: |
| Value: 7,500 |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 7,500 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Derivative Holding: |
| | Security Title: |
| | | Value: Option to Purchase Common Stock [2022 Grant] |
| | Conversion or Exercise Price: |
| | | Value: 69.1900 |
| | Exercise Date: |
| | | Value: 5/5/23 |
| | Expiration Date: |
| | | Value: 5/4/24 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Common Stock |
| | | Underlying Security Shares: |
| Value: 7,500 |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 7,500 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Derivative Holding: |
| | Security Title: |
| | | Value: Option to Purchase Common Stock [2023 Grant] |
| | Conversion or Exercise Price: |
| | | Value: 55.7500 |
| | Exercise Date: |
| | | Value: 5/4/24 |
| | Expiration Date: |
| | | Value: 5/3/28 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Common Stock |
| | | Underlying Security Shares: |
| Value: 7,500 |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 7,500 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
Owner Signature: |
| Signature Name: /s/ Richard F. LaRoche, Jr. by Kristina R. Hulsey, P.O.A. |
| Signature Date: 12/11/23 |