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0000897069-09-000541.txt : 20090217
0000897069-09-000541.hdr.sgml : 20090216
20090217091556
ACCESSION NUMBER: 0000897069-09-000541
CONFORMED SUBMISSION TYPE: SC 13G/A
PUBLIC DOCUMENT COUNT: 1
FILED AS OF DATE: 20090217
DATE AS OF CHANGE: 20090217
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: 09607378
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
BUSINESS ADDRESS:
STREET 1: C/O NATIONAL RESEARCH CORP
STREET 2: 1033 D STREET
CITY: LINCOLN
STATE: NE
ZIP: 68508
BUSINESS PHONE: 4024752525
MAIL ADDRESS:
STREET 1: C/O NATIONAL RESEARCH CORPORATION
STREET 2: 1033 D STREET
CITY: LINCOLN
STATE: NE
ZIP: 68508
SC 13G/A
1
cmw4194.htm
AMENDMENT NO. 11
UNITED STATES
SECURITIES AND
EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities
Exchange Act of 1934
(Amendment No. 11)*
|
National Research Corporation
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(Name of Issuer)
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Common Stock, $.001 par value
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(Title of Class of Securities)
|
637372 10 3
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(CUSIP Number)
|
December 31, 2008
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(Date of Event Which Requires Filing of this Statement
|
Check the appropriate box to
designate the rule pursuant to which this Schedule is filed:
|
| | |
Rule 13d-1(b) |
|
| | |
Rule 13d-1(c) |
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|X| |
Rule 13d-1(d) |
* The remainder of this cover page
shall be filled out for a reporting persons 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 on 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
CUSIP No. 637372 10 3
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1 |
NAME OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Michael D. Hays
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2 |
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
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(a) [ ]
(b) [ ]
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3 |
SEC USE ONLY
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4 |
CITIZENSHIP OR PLACE OF ORGANIZATION
United States |
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NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
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5
6
7
8
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SOLE VOTING POWER
4,850,453
SHARED VOTING POWER
-0-
SOLE DISPOSITIVE POWER
4,850,453
SHARED DISPOSITIVE POWER
-0-
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9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
4,850,453
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10 |
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW 9 EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
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[ ]
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11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
72.4%
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12 |
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
IN
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Page 2 of 5 Pages
CUSIP No. 637372 10 3
Item 1(a). |
Name
of Issuer: |
|
National
Research Corporation |
Item 1(b). |
Address
of Issuers Principal Executive Offices: |
|
1245
Q Street Lincoln, Nebraska 68508 |
Item 2(a). |
Name
of Person Filing: |
Item 2(b). |
Address
of Principal Business Office or, if none, Residence: |
|
1245
Q Street Lincoln, Nebraska 68508 |
Item 2(d). |
Title
of Class of Securities: |
|
Common
Stock, $.001 par value |
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: |
Page 3 of 5 Pages
CUSIP No. 637372 10 3
Item 4. |
Ownership
(as of December 31, 2008). |
|
(a) |
Amount
Beneficially Owned: 4,850,453 shares. |
|
(b) |
Percent
of Class: 72.4% |
|
(c) |
Number
of shares as to which such person has: |
|
(i) |
sole
power to vote or to direct the vote |
|
(ii) |
shared
power to vote or to direct the vote |
|
(iii) |
sole
power to dispose or to direct the disposition of |
|
(iv) |
shared
power to dispose or to direct the disposition of |
Item 5. |
Ownership
of Five Percent or Less of a Class. |
Item 6. |
Ownership
of More than Five Percent on Behalf of Another Person. |
Item 7. |
Identification
and Classification of the Subsidiary Which Acquired the Security
Being Reported on By the Parent Holding Company. |
Item 8. |
Identification
and Classification of Members of the Group. |
Item 9. |
Notice
of Dissolution of Group. |
Page 4 of 5 Pages
CUSIP No. 637372 10 3
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.
Dated: February 5, 2009
/s/ Michael D. Hays
Michael D. Hays
Page 5 of 5 Pages
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