-----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, Gq/IZ5Id96x7uJeIO3lkVm1cex4bEXN1C26WAJ2NASC3ov0EJ8yWnUCWSCAyjRvq ivFc75aWTSd2qLr1QEnTmw== 0000897069-04-001696.txt : 20040922 0000897069-04-001696.hdr.sgml : 20040922 20040922151412 ACCESSION NUMBER: 0000897069-04-001696 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040920 FILED AS OF DATE: 20040922 DATE AS OF CHANGE: 20040922 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: 041041137 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-COMMERCIAL PHYSICAL & BIOLOGICAL RESEARCH [8731] 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 bea24.xml X0202 4 2004-09-20 0 0000070487 NATIONAL RESEARCH CORP NRCI 0001247187 BEANS PATRICK E C/O NATIONAL RESEARCH CORPORATION 1245 "Q" STREET LINCOLN NE 68508 1 1 0 0 CFO and Secretary Common Stock 2004-09-20 4 G 0 696 15.79 A 36655 I As trustee of trusts Common Stock 35925 D Common Stock 1500 I As custodian for minor children Employee Stock Option (Right to Buy) 4.00 2004-12-13 Common Stock 3904 3904 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 Employee Stock Option (Right to Buy) 16.10 2014-01-05 Common Stock 12121 12121 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 26, 2002, 2003 and 2004, respectively. This option becomes fully exercisable on June 26, 2008. This option becomes fully exercisable on January 5, 2009. By: Russell E. Ryba, Attorney-in-Fact 2004-09-22 -----END PRIVACY-ENHANCED MESSAGE-----