0001140361-12-004606.txt : 20120201 0001140361-12-004606.hdr.sgml : 20120201 20120201121122 ACCESSION NUMBER: 0001140361-12-004606 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120130 FILED AS OF DATE: 20120201 DATE AS OF CHANGE: 20120201 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hays Michael D. CENTRAL INDEX KEY: 0001053133 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-29466 FILM NUMBER: 12561626 MAIL ADDRESS: STREET 1: C/O NATIONAL RESEARCH CORPORATION STREET 2: 1245 Q STREET CITY: LINCOLN STATE: NE ZIP: 68508 FORMER NAME: FORMER CONFORMED NAME: HAYS MICHAEL DATE OF NAME CHANGE: 19980115 4 1 doc1.xml FORM 4 X0304 4 2012-01-30 0 0000070487 NATIONAL RESEARCH CORP NRCI 0001053133 Hays Michael D. C/O NATIONAL RESEARCH CORPORATION 1245 "Q" STREET LINCOLN NE 68508 1 1 1 0 CEO Common Stock 2012-01-30 5 G 0 7764 0 D 4659636 D Common Stock 250 I By Spouse Common Stock 25 I By Spouse & Daughter Jt Common Stock 50 I By Spouse- Investmt Club Employee Stock Option (right to buy) 16.1 2014-01-05 Common Stock 18298 18298 D Employee Stock Option (right to buy) 17.25 2016-01-05 Common Stock 11078 11078 D Employee Stock Option (right to buy) 22.87 2017-01-05 Common Stock 8356 8356 D Employee Stock Option (right to buy) 26.5 2018-01-04 Common Stock 7211 7211 D Employee Stock Option (right to buy) 28.51 2019-01-05 Common Stock 6703 6703 D Employee Stock Option (right to buy) 21.65 2020-01-05 Common Stock 8827 8827 D Employee Stock Option (right to buy) 32.31 2021-01-05 Common Stock 5915 5915 D The reporting person disclaims beneficial ownership of these shares. This option became fully exercisable on January 5, 2009. This option became fully exercisable on January 5, 2011. This option becomes fully exercisable on January 5, 2012. This option becomes fully exercisable on January 4, 2013. This option becomes fully exercisable on January 5, 2014. This option becomes fully exercisable on January 5, 2015. This option becomes fully exercisable on January 5, 2016. /s/ Russell E. Ryba, Attorney-In-Fact 2012-02-01