0001140361-15-036481.txt : 20151001 0001140361-15-036481.hdr.sgml : 20151001 20151001155642 ACCESSION NUMBER: 0001140361-15-036481 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151001 FILED AS OF DATE: 20151001 DATE AS OF CHANGE: 20151001 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: Jackson Steven D. CENTRAL INDEX KEY: 0001654405 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35929 FILM NUMBER: 151136997 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 2015-10-01 0 0000070487 NATIONAL RESEARCH CORP NRCIA/B 0001654405 Jackson Steven D. C/O NATIONAL RESEARCH CORPORATION 1245 Q STREET LINCOLN NE 68508 0 1 0 0 President Class A Common Stock 2015-10-01 4 A 0 36756 0 A 125983 D Class B Common Stock 2015-10-01 4 A 0 6126 0 A 20997 D Restricted stock granted October 1, 2015 vests and becomes fully exercisable on October 1, 2020 or upon death or disability. /s/ Russell E. Ryba, Attorney-in-Fact for Steven D. Jackson 2015-10-01