-----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, Fu4TSGB2wSWajhJntZlOnHEbWthCqo7r30C8fJEqRZiszIzNE81pK4ZmqLV3q4RK MoVe7zocxIJ7snt4OWYJyg== 0001144204-10-009355.txt : 20100223 0001144204-10-009355.hdr.sgml : 20100223 20100222173149 ACCESSION NUMBER: 0001144204-10-009355 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20100223 DATE AS OF CHANGE: 20100222 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: NATIONAL RESEARCH CORP CENTRAL INDEX KEY: 0000070487 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMMERCIAL PHYSICAL & BIOLOGICAL RESEARCH [8731] IRS NUMBER: 470634000 STATE OF INCORPORATION: WI FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-52417 FILM NUMBER: 10623713 BUSINESS ADDRESS: STREET 1: 1245 Q STREET CITY: LINCOLN STATE: NE ZIP: 68508 BUSINESS PHONE: 4024752525 MAIL ADDRESS: STREET 1: 1245 Q STREET CITY: LINCOLN STATE: NE ZIP: 68508 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: HAYS MICHAEL CENTRAL INDEX KEY: 0001053133 FILING VALUES: FORM TYPE: SC 13G/A MAIL ADDRESS: STREET 1: C/O NATIONAL RESEARCH CORPORATION STREET 2: 1033 D STREET CITY: LINCOLN STATE: NE ZIP: 68508 SC 13G/A 1 v175197_sc13ga.htm Unassociated Document
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C.  20549
 
SCHEDULE 13G
 
Under the Securities Exchange Act of 1934
(Amendment No. 13)*
 
 
National Research Corporation
(Name of Issuer)
 
Common Stock, $.001 par value
(Title of Class of Securities)
 
 
637372103
  
(CUSIP Number)
 
February 12, 2010
(Date of Event Which Requires Filing of this Statement)


Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
 
 
 
 
*           The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.
 
The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
 
 
 
(Continued on following page(s))
Page 1 of 5 Pages
 

1
NAME OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
 
Michael D. Hays
 
2
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
                                                                                                                                   (a)o 
(b)o 
Not Applicable
3
SEC USE ONLY
4
CITIZENSHIP OR PLACE OF ORGANIZATION
United States
 
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
5
SOLE VOTING POWER
 
1,782,052
 
6
SHARED VOTING POWER
 
0
 
7
SOLE DISPOSITIVE POWER
 
1,782,052
 
8
SHARED DISPOSITIVE POWER
 
0
 
9
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
 
1,782,052
 
10
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) o
 
Not Applicable
 
11
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
 
26.8%
 
12
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
 
IN
 

Page 2 of 5 Pages

Item 1(a).
Name of Issuer:
National Research Corporation
  
     
Item 1(b).
Address of Issuer’s Principal Executive Offices:
 
1245 “Q” Street
Lincoln Nebraska 68508
 
  
Item 2(a).
Name of Person Filing:
Michael D. Hays
  
     
Item 2(b).
Address of Principal Business Office or, if none, Residence:
 
1245 “Q” Street
Lincoln Nebraska 68508
 
  
Item 2(c).
Citizenship:
United States.
  
     
Item 2(d).
Title of Class of Securities:
Common Stock, $.001 par value
  
     
Item 2(e).
CUSIP Number:
637372103
  
     
Item 3.
If this statement is filed pursuant to Rules 13d-1(b), or 13d-2(b) or (c), check whether the person filing is a:
N/A
  
 
Page 3 of 5 Pages
 
Item 4.
Ownership (as of February 8, 2010)
 
 
(a)  Amount Beneficially Owned:  1,782,052*
(b)  Percent of Class:  26.8%
(c)  Number of shares as to which such person has:
 
(i)     sole power to vote or to direct the vote:  1,782,052
(ii)    shared power to vote or to direct the vote:  0
(iii)   sole power to dispose or to direct the disposition of:  1,782,052
(iv)   shared power to dispose or to direct the disposition of:  0
 
     _____________________
 
*
Does not include 3,000,000 shares currently held in certain GRAT agreements, all or a portion of which will be returned to Mr. Hays over the next two years.
 
Item 5.
Ownership of Five Percent or Less of a Class.
N/A
 
Item 6.
Ownership of More than Five Percent on Behalf of Another Person.
N/A
   
Item 7.
Identification and Classification of the Subsidiary Which Acquired
the Security Being Reported on By the Parent Holding Company.
N/A
   
Item 8.
Identification and Classification of Members of the Group.
N/A
   
Item 9.
Notice of Dissolution of Group.
N/A
   
Item 10.
Certification.
N/A
 
Page 4 of 5 Pages
 
SIGNATURE
 
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
 

Date:   February 19, 2010
 
     
 
 
 /s/ Michael D. Hays  
    Michael D. Hays  

 
Page 5 of 5 Pages
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