-----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, RkGMy3eFqIaL0Z4OYYpa6XUz6Ahg2AWKixEH5owhP3VYglCw8K8ijew7qEmkIoxx rwF7ky4MhIew2Qm1FpGKuw== 0000897069-04-000783.txt : 20040408 0000897069-04-000783.hdr.sgml : 20040408 20040408124445 ACCESSION NUMBER: 0000897069-04-000783 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040406 FILED AS OF DATE: 20040408 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: 04724207 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 raa11.xml X0201 4 2004-04-06 0 0000070487 NATIONAL RESEARCH CORP NRCI 0001247191 RAASCH JONA S C/O NATIONAL RESEARCH CORPORATION 1245 "Q" STREET LINCOLN NE 68508 0 1 0 0 VP and Chief Operating Officer Common Stock 2004-04-06 4 M 0 2500 4.00 A 68590 D Common Stock 2004-04-06 4 S 0 2400 16.70 D 66190 D Common Stock 2004-04-06 4 S 0 100 16.73 D 66090 D Common Stock 2004-04-06 4 S 0 850 16.70 D 500 I As power of attorney for father Common Stock 1000 I By husband Common Stock 100 I By minor children Employee Stock Option (Right to Buy) 4.0000 2004-04-06 4 M 0 2500 0 D 2004-12-13 Common Stock 2500 5000 D Employee Stock Option (Right to Buy) 5.7500 2006-12-04 Common Stock 10435 10435 D Employee Stock Option (Right to Buy) 11.0000 2013-06-26 Common Stock 34091 34091 D Employee Stock Option (Right to Buy) 16.1000 2014-01-05 Common Stock 13388 13388 D This option became 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. By: Benjamin F. Garmer, III, Attorney-in-Fact 2004-04-08 -----END PRIVACY-ENHANCED MESSAGE-----