-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, C0b51l5RlzVlWMd5d1cs4p4NPeUbGCninhJy/qJWJeDl89TznworkUuNfO2BAXmS gcoSmEsoPaNQX2WllohPzA== 0000897069-03-001748.txt : 20031230 0000897069-03-001748.hdr.sgml : 20031230 20031230180418 ACCESSION NUMBER: 0000897069-03-001748 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031229 FILED AS OF DATE: 20031230 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BEANS PATRICK E CENTRAL INDEX KEY: 0001247187 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-29466 FILM NUMBER: 031078765 BUSINESS ADDRESS: STREET 1: C/O NATIONAL RESEARCH CORP STREET 2: 1245 Q STREET CITY: LINCOLN STATE: NE ZIP: 68508 BUSINESS PHONE: 4024752525 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NATIONAL RESEARCH CORP CENTRAL INDEX KEY: 0000070487 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-TESTING LABORATORIES [8734] 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 sdc599_ex.xml FORM 4 X0201 4 2003-12-29 0 0000070487 NATIONAL RESEARCH CORP NRCI 0001247187 BEANS PATRICK E C/O NATIONAL RESEARCH CORP 1245 Q STREET LINCOLN NE 68508 1 1 0 0 CFO and Secretary Common Stock 1500 I As custodian for minor children Common Stock 34675 D Common Stock 8471 I As trustee of trust Common Stock 8792 I As trustee of trust Common Stock 9023 I As trustee of trust Common Stock 2003-12-29 4 G 0 700 15.70 A 9008 I As trustee of trust Employee Stock Option (Right to Buy) 4.00 2004-12-13 Common Stock 11250 11250 D Employee Stock Option (Right to Buy) 7.00 2006-12-26 Common Stock 6429 6429 D Employee Stock Option (Right to Buy) 11.00 2013-06-26 Common Stock 31364 31364 D This option becomes exercisable in 33-1/3% increments on December 13, 2000, 2001 and 2002, respectively. This option becomes exercisable in 33-1/3% increments on December 26, 2002, 2003 and 2004, respectively. This option becomes fully exercisable on June 26, 2008. Russell E. Ryba, Attorney-in-Fact 2003-12-30 -----END PRIVACY-ENHANCED MESSAGE-----