0001140361-14-001182.txt : 20140107 0001140361-14-001182.hdr.sgml : 20140107 20140107172908 ACCESSION NUMBER: 0001140361-14-001182 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140107 FILED AS OF DATE: 20140107 DATE AS OF CHANGE: 20140107 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: Henricks Susan L CENTRAL INDEX KEY: 0001524893 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35929 FILM NUMBER: 14514365 MAIL ADDRESS: STREET 1: C/O NATIONAL RESEARCH CORPORATION STREET 2: 1245 Q STREET CITY: LINCOLN STATE: NE ZIP: 68508 4 1 doc1.xml FORM 4 X0306 4 2014-01-07 0 0000070487 NATIONAL RESEARCH CORP NRCIA/B 0001524893 Henricks Susan L C/O NATIONAL RESEARCH CORPORATION 1245 Q STREET LINCOLN NE 68508 0 1 0 0 President and COO Class A Common Stock 23469 D Class B Common Stock 3911 D Employee Stock Option (right to buy) 18.8 2014-01-07 4 A 0 7112 0 A 2024-01-07 Class A Common Stock 7112 7112 D Employee Stock Option (right to buy) 34.15 2014-01-07 4 A 0 653 0 A 2024-01-07 Class B Common Stock 653 653 D Employee Stock Option (right to buy) 11.72 2021-07-05 Class A Common Stock 150000 150000 D Employee Stock Option (right to buy) 14.5 2023-01-07 Class A Common Stock 26784 26784 D Employee Stock Option (right to buy) 22.96 2021-07-05 Class B Common Stock 25000 25000 D Employee Stock Option (right to buy) 27.13 2023-01-07 Class B Common Stock 4464 4464 D On May 22, 2013, the Issuer completed a recapitalization pursuant to which it, among other things, issued a stock dividend of three shares of class A common stock for each share of then-existing common stock and reclassified each share of its then-existing common stock as one-half of one share of class B common stock. All fractional shares of class B common stock were cashed-out in the recapitalization. In connection with the recapitalization, the exercise prices of outstanding options were equitably adjusted to prevent the dilution or enlargement of the benefits intended to be provided. This option becomes fully exercisable on January 7, 2019. This option becomes fully exercisable on July 5, 2016. This option becomes fully exercisable on January 7, 2018. /s/ Russell E. Ryba, Attorney-in-Fact for Susan L. Henricks 2014-01-07