0000950124-01-503485.txt : 20011018 0000950124-01-503485.hdr.sgml : 20011018 ACCESSION NUMBER: 0000950124-01-503485 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20010910 FILED AS OF DATE: 20011010 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CERNER CORP /MO/ CENTRAL INDEX KEY: 0000804753 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373] IRS NUMBER: 431196944 STATE OF INCORPORATION: DE FISCAL YEAR END: 1230 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-15386 FILM NUMBER: 1756289 BUSINESS ADDRESS: STREET 1: 2800 ROCKCREEK PKWY-STE 601 CITY: KANSAS CITY STATE: MO ZIP: 64117 BUSINESS PHONE: 8162211024 MAIL ADDRESS: STREET 1: 2800 ROCKCREEK PKWY STREET 2: DROP 1624 CITY: KANSAS CITY STATE: MO ZIP: 64117 COMPANY DATA: COMPANY CONFORMED NAME: ILLIG CLIFFORD W CENTRAL INDEX KEY: 0000900403 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: C/O CERNER CORP STREET 2: 2800 ROCKCREEK PARKWAY CITY: KANSAS CITY STATE: MO ZIP: 64117-2551 BUSINESS PHONE: 8162011593 MAIL ADDRESS: STREET 1: C/O CERNER CORP STREET 2: 2800 ROCKCREEK PARKWAY CITY: KANSAS CITY STATE: MO ZIP: 64117-2551 4 1 c65400ce4.txt FORM 4 1 ------ FORM 4 ------ U.S. SECURITIES AND EXCHANGE COMMISSION [ ] Check box if no longer WASHINGTON, DC 20549 subject to Section 16. Form 4 or Form 5 obligations may STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP continue. See Instruction 1(b). Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person(1)|2. Issuer Name and Ticker or Trading Symbol |6. Relationship of Reporting Person | | to Issuer (Check all applicable) Illig Clifford W. | Cerner Corporation (CERN) | X Director X 10% Owner -------------------------------------------------------------------------------------------| ----- ----- (Last) (First) (Middle) |3. IRS Identification | 4. Statement for | X Officer (give title below) | Number of | Month/Year | ----- | Reporting Person, | | Other (specify below) | if an Entity | | ----- 2800 Rockcreek Parkway | (Voluntary) | September 2001 | Vice Chairman -----------------------------------------| |-------------------------|---------------------------------------- (Street) | | 5. If Amendment, |7. Individual or Joint/Group Filing | | Date of Original | (Check applicable line) | | (Month/Year) | X Form Filed by One Reporting Person Kansas City, MO 64117-2551 | | | -- -----------------------------------------|-------------------------------------------------| Form Filed by More than One (City) (State) (Zip) | | -- Reporting Person | | ------------------------------------------------------------------------------------------------------------------------------------ TABLE I - NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED ----------------------------------------------------------------------------------------------------------------------------------- 1. Title of Security |2. Transaction| 3. Transaction|4. Securities Acquired (A)| 5. Amount of|6. Owner- |7. Nature (Instr. 3) | Date | Code | or Disposed of (D) | Securities | ship | of | | (Instr. 8) | (Instr. 3, 4 and 5) | Beneficially| Form: | Indirect | | | | Owned at End| Direct | Bene- | |---------------|--------------------------| of Month | (D) or | ficial | | | | | (A) | | (Instr. 3 | Indirect | Owner- | (Month/Day/ | | | | or | | and 4) | (I) | ship | Year) | Code | V | Amount | (D) | Price | |(Instr. 4)|(Instr. 4) --------------------------------------|--------------|-------|-------|--------|------|----------|-------------|--------- |--------- Common Stock | 09/10/01 | | | 5,000 | D |$50.100000| 2,863,121 | D | --------------------------------------|--------------|-------|-------|--------|------|----------|-------------|--------- |--------- Common Stock | | | | | | | 195,667 | I | by Spouse --------------------------------------|--------------|-------|-------|--------|------|----------|-------------|--------- |--------- Common Stock | | | | | | | 5,548 | I | by Trust --------------------------------------|--------------|-------|-------|--------|------|----------|-------------|--------- |--------- | | | | | | | | | --------------------------------------|--------------|-------|-------|--------|------|----------|-------------|--------- |--------- | | | | | | | | | --------------------------------------|--------------|-------|-------|--------|------|----------|-------------|--------- |--------- | | | | | | | | | --------------------------------------|--------------|-------|-------|--------|------|----------|-------------|--------- |--------- | | | | | | | | | --------------------------------------|--------------|-------|-------|--------|------|----------|-------------|--------- |--------- | | | | | | | | | --------------------------------------|--------------|-------|-------|--------|------|----------|-------------|--------- |--------- | | | | | | | | | ----------------------------------------------------------------------------------------------------------------------------------
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FORM 4 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Derivative | 2. Conver- |3. Trans- |4. Trans- |5. Number of |6. Date Exer- |7. Title and Amount |8. Price Security | sion or | action | action | Derivative | cisable and | of Underlying | of (Instr. 3) | Exercise | Date | Code | Securities Ac- | Expiration | Securities | Deriv- | Price of | (Month/ | (Instr. 8)| quired (A) or | Date | (Instr. 3 and 4) | ative | Deriv- | Day/ | | Disposed of (D)| (Month/Day/ | | Secur- | ative | Year) | | (Instr. 3, 4, | Year) | | ity | Security | | | and 5) | | | (Instr. 5) | | | | |-------------------------------------| | | | | |Date |Expira- | | Amount or | | | |-------------------------------|Exer- |tion | Title | Number of | | | | Code |V | (A) |(D) |cisable|Date | | Shares | ------------------------|-------------|----------|-------|----|--------|---------|-------|--------|--------|-----------|------------ | | | | | | | | | | | | | | | | | | | | | | ------------------------|-------------|----------|-------|----|--------|---------|-------|--------|--------|-----------|------------ | | | | | | | | | | | ------------------------|-------------|----------|-------|----|--------|---------|-------|--------|--------|-----------|------------ | | | | | | | | | | | ------------------------|-------------|----------|-------|----|--------|---------|-------|--------|--------|-----------|------------ | | | | | | | | | | | ------------------------|-------------|----------|-------|----|--------|---------|-------|--------|--------|-----------|------------ | | | | | | | | | | | ------------------------|-------------|----------|-------|----|--------|---------|-------|--------|--------|-----------|------------ | | | | | | | | | | | ------------------------|-------------|----------|-------|----|--------|---------|-------|--------|--------|-----------|------------ | | | | | | | | | | | ------------------------------------------------------------------------------------------------------------------------------------ -------------------------------------------------------------------------- 9. Number of | 10. Ownership | 11. Nature of Derivative | Form of | Indirect Securities | Derivative | Beneficial Beneficially | Security: | Ownership Owned at End | Direct (D) | (Instr. 4) of Month | or Indirect (I) | (Instr. 4) | (Instr. 4) | ------------------|------------------------|------------------------------ | | ------------------|------------------------|------------------------------ | | ------------------|------------------------|------------------------------ | | ------------------|------------------------|------------------------------ | | ------------------|------------------------|------------------------------ | | ------------------|------------------------|------------------------------ | | -------------------------------------------------------------------------- Explanation of Responses: /s/ Clifford W. Illig 10/10/01 -------------------------------- ------- Signature of Reporting Person(1) Date (1) Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Note: File three copies of this form, one of which must be manually signed. If space provided is insufficient, see Instruction 6 for procedure. Page 2
(Print or Type Responses)