0001567619-23-000524.txt : 20230105
0001567619-23-000524.hdr.sgml : 20230105
20230105174811
ACCESSION NUMBER: 0001567619-23-000524
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230103
FILED AS OF DATE: 20230105
DATE AS OF CHANGE: 20230105
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: 23512687
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: DE
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
2023-01-03
0
0000070487
NATIONAL RESEARCH CORP
NRC
0001053133
Hays Michael D.
C/O NATIONAL RESEARCH CORP
1245 Q STREET
LINCOLN
NE
68508
1
1
0
0
CEO & President
Common Stock
2023-01-03
4
M
0
10938
14.50
A
45040
D
Common Stock
102095
I
By Spouse
Employee Stock Option (right to buy)
14.50
2023-01-03
4
M
0
10938
0
D
2013-01-07
2023-01-07
Common Stock
10938
0
D
Employee Stock Option (right to buy)
38.93
2023-01-04
4
A
0
4909
0
A
2033-01-04
Common Stock
4909
4909
D
The reporting person disclaims beneficial ownership of these shares.
This option was previously reported as covering 3,646 shares at an exercise price of $52.42 per share, but was adjusted to reflect the stock dividend that occurred on May 22, 2013.
This option becomes fully exercisable on January 4, 2028.
/s/ Michael D. Hays, by Heidi Hornung-Scherr, attorney-in-fact, pursuant to a POA previously filed with the SEC
2023-01-05