0001140361-12-006052.txt : 20120207
0001140361-12-006052.hdr.sgml : 20120207
20120207185918
ACCESSION NUMBER: 0001140361-12-006052
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120105
FILED AS OF DATE: 20120207
DATE AS OF CHANGE: 20120207
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Henricks Susan L
CENTRAL INDEX KEY: 0001524893
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-29466
FILM NUMBER: 12579346
MAIL ADDRESS:
STREET 1: C/O NATIONAL RESEARCH CORPORATION
STREET 2: 1245 Q STREET
CITY: LINCOLN
STATE: NE
ZIP: 68508
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
doc1.xml
FORM 4
X0304
4
2012-01-05
0
0000070487
NATIONAL RESEARCH CORP
NRCI
0001524893
Henricks Susan L
C/O NATIONAL RESEARCH CORPORATION
1245 Q STREET
LINCOLN
NE
68508
0
1
0
0
President and COO
Common Stock
2012-01-05
4
A
0
7823
0
A
7823
D
Employee Stock Option (right to buy)
42.00
2021-07-05
Common Stock
50000
50000
D
Restricted stock granted January 5, 2012 vests and becomes fully exercisable on January 5, 2017.
This option becomes fully exercisable on July 5, 2016.
/s/ Russell E. Ryba, Attorney-in-Fact for Susan L. Henricks
2012-02-07