-----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, GsuvTpJuGUki5xzc+6fy+GDNwuWOBkCviSU3NzwUmjGuyQ4PU1OxsrQCpuHdVFs7 TyweF1rLLRvb1E3Ympan8w== 0000897069-04-000095.txt : 20040107 0000897069-04-000095.hdr.sgml : 20040107 20040107143444 ACCESSION NUMBER: 0000897069-04-000095 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040105 FILED AS OF DATE: 20040107 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RAASCH JONA S CENTRAL INDEX KEY: 0001247191 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-29466 FILM NUMBER: 04512740 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 cmw371_ex.xml X0201 4 2004-01-05 0 0000070487 NATIONAL RESEARCH CORP NRCI 0001247191 RAASCH JONA S C/O NATIONAL RESEARCH CORP 1245 Q STREET LINCOLN NE 68508 0 1 0 0 Vice President and COO Common Stock 1000 I By husband Common Stock 1350 I As power of attorney for father Common Stock 66090 D Common Stock 100 I By minor children Employee Stock Option (Right to Buy) 4.00 2004-12-13 Common Stock 7500 7500 D Employee Stock Option (Right to Buy) 7.00 2006-12-04 Common Stock 10435 10435 D Employee Stock Option (Right to Buy) 11.00 2013-06-26 Common Stock 34091 34091 D Employee Stock Option (Right to Buy) 16.10 2004-01-05 4 A 0 13388 0 A 2004-01-05 Common Stock 13388 13388 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 4, 2002, 2003 and 2004, respectively. This option becomes fully exercisable on June 26, 2008. This option becomes fully exercisable on January 5, 2009. Russell E. Ryba, Attorney-in-Fact 2004-01-06 -----END PRIVACY-ENHANCED MESSAGE-----