0001140361-18-008926.txt : 20180220 0001140361-18-008926.hdr.sgml : 20180220 20180220093503 ACCESSION NUMBER: 0001140361-18-008926 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180215 FILED AS OF DATE: 20180220 DATE AS OF CHANGE: 20180220 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hays Michael D. CENTRAL INDEX KEY: 0001053133 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35929 FILM NUMBER: 18623348 MAIL ADDRESS: STREET 1: C/O NATIONAL RESEARCH CORPORATION STREET 2: 1245 Q STREET CITY: LINCOLN STATE: NE ZIP: 68508 FORMER NAME: FORMER CONFORMED NAME: HAYS MICHAEL DATE OF NAME CHANGE: 19980115 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NATIONAL RESEARCH CORP CENTRAL INDEX KEY: 0000070487 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMMERCIAL PHYSICAL & BIOLOGICAL RESEARCH [8731] 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 doc1.xml FORM 4 X0306 4 2018-02-15 0 0000070487 NATIONAL RESEARCH CORP NRCIA/B 0001053133 Hays Michael D. C/O NATIONAL RESEARCH CORPORATION 1245 "Q" STREET LINCOLN NE 68508 1 1 0 0 CEO Class A Common Stock 2018-02-15 4 S 0 5261410 19.31 D 0 D Class A Common Stock 138970 I By Spouse Class A Common Stock 75 I By Spouse & Daughter Jt Class B Common Stock 125 I By Spouse Class B Common Stock 12 I By Spouse & Daughter Jt Employee Stock Option (right to buy) 8.12 2019-01-05 Class A Common Stock 20109 20109 D Employee Stock Option (right to buy) 6.29 2020-01-05 Class A Common Stock 26481 26481 D Employee Stock Option (right to buy) 9.14 2021-01-05 Class A Common Stock 17745 17745 D Employee Stock Option (right to buy) 10.75 2022-01-05 Class A Common Stock 14949 14949 D Employee Stock Option (right to buy) 14.50 2023-01-07 Class A Common Stock 10938 10938 D Employee Stock Option (right to buy) 18.80 2024-01-07 Class A Common Stock 2904 2904 D Employee Stock Option (right to buy) 13.17 2025-01-06 Class A Common Stock 10014 10014 D Employee Stock Option (right to buy) 15.23 2026-01-05 Class A Common Stock 9145 9145 D Employee Stock Option (right to buy) 18.8 2027-01-04 Class A Common Stock 7478 7478 D Employee Stock Option (right to buy) 36.8 2028-01-03 Class A Common Stock 5193 5193 D Employee Stock Option (right to buy) 21.5 2022-01-05 Class B Common Stock 2491 2491 D Employee Stock Option (right to buy) 27.13 2023-01-07 Class B Common Stock 1823 1823 D Employee Stock Option (right to buy) 34.15 2024-01-07 Class B Common Stock 266 266 D Employee Stock Option (right to buy) 35.48 2025-01-06 Class B Common Stock 1669 1669 D Employee Stock Option (right to buy) 34 2026-01-05 Class B Common Stock 1524 1524 D Employee Stock Option (right to buy) 40.54 2027-01-04 Class B Common Stock 1246 1246 D Shares were indirectly sold to the Amandla MK Trust in return for a promissory note. The reporting person disclaims beneficial ownership of these shares. This option became fully exercisable on January 5, 2014. This option became fully exercisable on January 5, 2015. This option became fully exercisable on January 5, 2016. This option became fully exercisable on January 5, 2017. This option became fully exercisable on January 7, 2018. This option becomes fully exercisable on January 7, 2019. This option becomes fully exercisable on January 6, 2020. This option becomes fully exercisable on January 5, 2021. This option becomes fully exercisable on January 4, 2022. This option becomes fully exercisable on January 3, 2023. /s/ Russell E. Ryba, Attorney-In-Fact for Michael D. Hays 2018-02-20