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