0001209191-21-016794.txt : 20210303 0001209191-21-016794.hdr.sgml : 20210303 20210303160212 ACCESSION NUMBER: 0001209191-21-016794 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210301 FILED AS OF DATE: 20210303 DATE AS OF CHANGE: 20210303 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Campbell Daniel William CENTRAL INDEX KEY: 0001731024 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-00395 FILM NUMBER: 21708854 MAIL ADDRESS: STREET 1: 864 SPRING STREET NW CITY: ATLANTA STATE: GA ZIP: 30308 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NCR CORP CENTRAL INDEX KEY: 0000070866 STANDARD INDUSTRIAL CLASSIFICATION: CALCULATING & ACCOUNTING MACHINES (NO ELECTRONIC COMPUTERS) [3578] IRS NUMBER: 310387920 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 864 SPRING STREET NW CITY: ATLANTA STATE: GA ZIP: 30309 BUSINESS PHONE: 9374455000 MAIL ADDRESS: STREET 1: 864 SPRING STREET NW CITY: ATLANTA STATE: GA ZIP: 30309 FORMER COMPANY: FORMER CONFORMED NAME: NATIONAL CASH REGISTER CO DATE OF NAME CHANGE: 19740617 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-03-01 0 0000070866 NCR CORP NCR 0001731024 Campbell Daniel William 864 SPRING STREET NW ATLANTA GA 30308 0 1 0 0 Executive VP, Global Sales Common Stock 2021-03-01 4 M 0 30331 0.00 A 108912 D Common Stock 2021-03-01 4 F 0 13340 36.33 D 95572 D Restricted Stock Units 0.00 2021-03-01 4 M 0 30331 0.00 A Common Stock 30331 0 D Represents the conversion of restricted stock units that vested on March 1, 2021. The performance related conditions of these restricted stock units were satisfied on February 7, 2019. These shares were withheld to cover tax withholding obligations when 30,331 previously reported restricted stock units vested on March 1, 2021. Laura J. Foltz, Attorney-in-Fact for Daniel William Campbell 2021-03-03