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*
ILLIG CLIFFORD W

(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)
Vice Chairman
3. Date of Earliest Transaction (Month/Day/Year)
11/07/2012
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 11/07/2012 J(1)(2) 803,443 D (1)(2) 6,713,740 D
Common Stock 54,000 I By Trust as Co-Trustee
Common Stock 54,000 I By Trust as Co-Trustee
Common Stock 36,014.205 I by 401(k) Plan
Common Stock 782,668 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 (1)(2) 11/07/2012 J(1)(2) 1,000,000 11/07/2012 11/07/2012 Common Stock 1,000,000 $0.00 0 D
Non-Qualified Stock Option (right to buy) $20.11 03/14/2013 03/14/2018 Common Stock 20,000 20,000 D
Non-Qualified Stock Option (right to buy) $18.36 03/06/2011 03/06/2019 Common Stock 20,000 20,000 D
Non-Qualified Stock Option (right to buy) $42.6 03/12/2012 03/12/2020 Common Stock 20,000 20,000 D
Non-Qualified Stock Option (right to buy) $51.6 03/11/2013 03/11/2021 Common Stock 20,000 20,000 D
Non-Qualified Stock Option (right to buy) $76.86 03/09/2014 03/09/2022 Common Stock 15,000 15,000 D
Non-Quallified Stock Option (right to buy) $26.905 03/09/2012 03/09/2017 Common Stock 20,000 20,000 D
Non-Quallified Stock Option (right to buy) $7.4063 06/28/2003 06/28/2020 Common Stock 288,000 288,000 D
Non-Quallified Stock Option (right to buy) $5.6475 06/12/2006 06/12/2013 Common Stock 48,000 48,000 D
Non-Quallified Stock Option (right to buy) $9.02 09/04/2008 09/04/2013 Common Stock 20,000 20,000 D
Non-Quallified Stock Option (right to buy) $10.495 06/03/2009 06/03/2014 Common Stock 40,000 40,000 D
Non-Quallified Stock Option (right to buy) $15.7025 06/03/2010 06/03/2015 Common Stock 20,000 20,000 D
Non-Quallified Stock Option (right to buy) $21.755 03/09/2011 03/09/2016 Common Stock 20,000 20,000 D
Explanation of Responses:
1. On November 7, 2012, the reporting person settled a variable prepaid forward contract ("VPFC") that had been entered into pursuant to a letter agreement dated November 9, 2009, as amended, with an unaffiliated third party. Under the terms of the VPFC, at maturity the reporting person was obligated to deliver to the third party up to 1,000,000 shares of Cerner Corporation common stock, the precise amount being dependent on the market price at maturity. Information regarding the terms of the VPFC were disclosed as part of the reporting person's Form 4 filing on November 9, 2009.
2. Because of the closing of the U.S. stock markets caused by Hurricane Sandy, the maturity date was extended to November 7, 2012. On November 7, 2012, the final valuation (which is calculated as the volume weighted average price per share on each of the 6 scheduled trading days starting on October 30, 2012) was $78.24 and, accordingly, the reporting person delivered 803,443 shares of Cerner Corporation common stock to the third party.
Remarks:
/s/Amy Abrams, by Power of Attorney 11/08/2012
** 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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