SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
PATTERSON NEAL L

(Last) (First) (Middle)
2800 ROCKCREEK PARKWAY

(Street)
NORTH KANSAS CITY MO 64117

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
CERNER CORP /MO/ [ CERN ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Chairman and CEO
3. Date of Earliest Transaction (Month/Day/Year)
11/05/2009
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 11/02/2009 G(1) V 180 D $0.00 5,558,669 D
Common Stock 11/05/2009 S(2) 2,000 D $77.46(3)(4) 882,163.403 I by Trust
Common Stock 11/06/2009 S(2) 500 D $76.43(4)(5) 881,663.403 I by Trust
Common Stock 6,800 I by Spouse
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Variable Prepaid Forward Contract (6)(7)(8) 11/06/2009 J(6)(7)(8) 500,000 (6)(7)(8) (6)(7)(8) Common Stock 500,000 (6)(7)(8) 500,000 D
Non-Qualified Stock Option (right to buy) $40.22 03/14/2013 03/14/2018 Common Stock 72,000 72,000 D
Non-Qualified Stock Option (right to buy) $36.72 03/06/2011 03/06/2019 Common Stock 70,000 70,000 D
Non-Quallified Stock Option (right to buy) $14.8125 06/28/2005 06/28/2020 Common Stock 590,000 590,000 D
Non-Quallified Stock Option (right to buy) $21.645 06/14/2006 06/14/2011 Common Stock 75,000 75,000 D
Non-Quallified Stock Option (right to buy) $23.115 04/05/2007 04/05/2012 Common Stock 50,000 50,000 D
Non-Quallified Stock Option (right to buy) $11.295 06/12/2008 06/12/2013 Common Stock 50,000 50,000 D
Non-Quallified Stock Option (right to buy) $20.99 06/03/2009 06/03/2014 Common Stock 60,000 60,000 D
Non-Quallified Stock Option (right to buy) $31.405 06/03/2010 06/03/2015 Common Stock 80,000 80,000 D
Non-Quallified Stock Option (right to buy) $41.125 09/16/2010 09/16/2015 Common Stock 84,000 84,000 D
Non-Quallified Stock Option (right to buy) $43.51 03/09/2011 03/09/2016 Common Stock 100,000 100,000 D
Non-Quallified Stock Option (right to buy) $53.81 03/09/2012 03/09/2017 Common Stock 80,000 80,000 D
Explanation of Responses:
1. Represents transactions that are exempt under Section 16(b) and are not reportable until a Form 5 is filed at the end of the year, however the reporting person has elected to report them on this Form 4.
2. By Spouse as sole Trustee of Irrevocable Trust for minor child.
3. Price reflects a weighted-average price for the transaction. Sale of shares took place at actual prices ranging from $77.42 to $77.50.
4. Full information regarding the number of shares purchased or sold at each separate price shall be provided upon request by the Commission staff, Cerner Corporation, or a Cerner shareholder.
5. Price reflects a weighted-average price for the transaction. Sale of shares took place at actual prices ranging from $76.42 to $76.44.
6. On November 6, 2009, a revocable trust in which the reporting person is the trustee (the "Trust") entered into a variable prepaid forward contract ("VPFC") with an unaffiliated third party. Under the terms of the VPFC, at maturity three years after the date thereof the Trust will deliver to the third party up to 500,000 shares of Cerner Corporation common stock, the precise amount being dependent on the market price at maturity. In exchange, the third party makes an upfront cash payment of $31,920,966.53 to the Trust within three business days after the date of the VPFC. At maturity, if the market price per share is equal to or less than the forward floor price, the Trust will deliver all of the covered shares to the third party. If the market price per share at maturity is greater than the floor price, the Trust will deliver fewer shares.
7. The Trust has pledged 500,000 shares of Cerner Corporation common stock to secure its obligations under the VPFC and will retain voting rights, and subject to the terms of the agreement, dividends in the shares during the term of the pledge. At the election of the reporting person, the Trust may substitute other collateral for the pledged shares of Cerner Corporation common stock, and may settle the VPFC in cash, or with the pledged shares of Cerner Corporation common stock, or with other shares of Cerner Corporation common stock. The third party may not sell, lend, pledge, rehypothecate, assign, invest, use, commingle or otherwise dispose of, or otherwise use in its business any of the pledged Cerner Corporation common stock.
8. The purpose of the VPFC is primarily to provide funding for other business investments of the Trust. The VPFC provides the Trust with current liquidity while it retains its interest in the shares, as well as the ability to participate (up to a cap) in future stock price appreciation.
Remarks:
/s/Crystal Spoor, by Power of Attorney 11/09/2009
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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