-----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, BEsu4Ey2OBg9REAiaXygZSRw1YwY+wmiZ0vyeqnenkGWi9fNlFMfCy/ZSBzOHnx9 So5CYAuXpP9ny1p2cBm00g== 0000897069-04-000092.txt : 20040107 0000897069-04-000092.hdr.sgml : 20040107 20040107143232 ACCESSION NUMBER: 0000897069-04-000092 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040105 FILED AS OF DATE: 20040107 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HAYS MICHAEL CENTRAL INDEX KEY: 0001053133 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-29466 FILM NUMBER: 04512723 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 4 1 cmw368_ex.xml X0201 4 2004-01-05 0 0000070487 NATIONAL RESEARCH CORP NRCI 0001053133 HAYS MICHAEL C/O NATIONAL RESEARCH CORP 1245 "Q" STREET LINCOLN NE 68508 1 1 1 0 President and CEO Common Stock 4842216 D Employee Stock Option (Right to Buy) 11.00 2013-06-26 Common Stock 38182 38182 D Employee Stock Option (Right to Buy) 16.10 2004-01-05 4 A 0 18298 0 A 2014-01-05 Common Stock 18298 18298 D 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-----