-----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, O563PCEeokdcaYvMuE+OGEoQtFLgbV0sbRhDb4lrmQNezZ5DBklFidUHwbONSn2g NQIWqvL3fV5+HdQx46BlQA== 0000897069-04-000094.txt : 20040107 0000897069-04-000094.hdr.sgml : 20040107 20040107143355 ACCESSION NUMBER: 0000897069-04-000094 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040105 FILED AS OF DATE: 20040107 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CARMICHAEL JOSEPH W CENTRAL INDEX KEY: 0001247190 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-29466 FILM NUMBER: 04512735 BUSINESS ADDRESS: STREET 1: C/O NATIONAL RESEARCH CORP STREET 2: 1245 Q STREET CITY: LINCOLN STATE: NE ZIP: 68508 BUSINESS PHONE: 4024752525 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NATIONAL RESEARCH CORP CENTRAL INDEX KEY: 0000070487 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-TESTING LABORATORIES [8734] IRS NUMBER: 470634000 STATE OF INCORPORATION: WI FISCAL YEAR END: 1231 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 4 1 cmw370_ex.xml X0201 4 2004-01-05 0 0000070487 NATIONAL RESEARCH CORP NRCI 0001247190 CARMICHAEL JOSEPH W C/O NATIONAL RESEARCH CORP 1245 Q STREET LINCOLN NE 68508 0 1 0 0 Senior Vice President Common Stock 2839 D Common Stock 11 I Interest in investment club Employee Stock Option (Right to Buy) 4.20 2006-06-01 Common Stock 10714 10714 D Employee Stock Option (Right to Buy) 11.00 2013-06-26 Common Stock 32727 32727 D Employee Stock Option (Right to Buy) 16.10 2004-01-05 4 A 0 12634 0 A 2014-01-05 Common Stock 12634 12634 D This option becomes exercisable in 33-1/3% increments on June 1, 2002, 2003 and 2004, respectively. This option becomes fully exercisable on June 26, 2008. This option becomes fully exercisable on January 5, 2009. Russell E. Ryba, Attorney-In-Fact 2004-01-06 -----END PRIVACY-ENHANCED MESSAGE-----