-----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, KJn8fX0df6AjEE+z4AK/3hOfX9/jmFQaSEITNEif/PeFJzrPmEJdNB7hIRjYMSzr tariaSyYOMX1WOLc02ld0w== 0000897069-04-002193.txt : 20041228 0000897069-04-002193.hdr.sgml : 20041228 20041228145005 ACCESSION NUMBER: 0000897069-04-002193 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041227 FILED AS OF DATE: 20041228 DATE AS OF CHANGE: 20041228 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: 041228350 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 bea29.xml X0202 4 2004-12-27 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 2004-12-27 5 G 0 715 0 A 38045 I As trustee of trusts Common Stock 36629 D Common Stock 1500 I As custodian for minor children 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 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 2004-12-28 -----END PRIVACY-ENHANCED MESSAGE-----