-----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, NPqWQqMTJl29j7Q5Vnt8ytL/a+Eep+H9YP9hwBmE4uWMxpl6dBwrieVldAUAMiwv eEIuRyFdw6dSoCnkQXFRwA== 0000897069-04-000235.txt : 20040202 0000897069-04-000235.hdr.sgml : 20040202 20040202165318 ACCESSION NUMBER: 0000897069-04-000235 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040105 FILED AS OF DATE: 20040202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RAASCH JONA S CENTRAL INDEX KEY: 0001247191 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-29466 FILM NUMBER: 04559765 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/A 1 sdc626_ex.xml FORM 4 AMENDMENT X0201 4/A 2004-01-05 2004-01-07 0 0000070487 NATIONAL RESEARCH CORP NRCI 0001247191 RAASCH JONA S C/O NATIONAL RESEARCH CORP 1245 Q STREET LINCOLN NE 68508 0 1 0 0 Vice President and COO Common Stock 1000 I By husband Common Stock 1350 I As power of attorney for father Common Stock 66090 D Common Stock 100 I By minor children Employee Stock Option (Right to Buy) 4.00 2004-12-13 Common Stock 7500 7500 D Employee Stock Option (Right to Buy) 7.00 2006-12-04 Common Stock 10435 10435 D Employee Stock Option (Right to Buy) 11.00 2013-06-26 Common Stock 34091 34091 D Employee Stock Option (Right to Buy) 16.10 2004-01-05 4 A 0 13388 0 A 2014-01-05 Common Stock 13388 13388 D This option becomes exercisable in 33-1/3% increments on December 13, 2000, 2001 and 2002, respectively. This option becomes exercisable in 33-1/3% increments on December 4, 2002, 2003 and 2004, respectively. This option becomes fully exercisable on June 26, 2008. This option becomes fully exercisable on January 5, 2009. The Form 4 filed on January 7, 2004 reported that this option expires on January 5, 2004. This option actually expires on January 5, 2014. Russell E. Ryba, Attorney-in-Fact 2004-01-30 -----END PRIVACY-ENHANCED MESSAGE-----