0001140361-16-046978.txt : 20160106 0001140361-16-046978.hdr.sgml : 20160106 20160106183445 ACCESSION NUMBER: 0001140361-16-046978 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160105 FILED AS OF DATE: 20160106 DATE AS OF CHANGE: 20160106 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: 161328257 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 2016-01-05 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 125983 D Class B Common Stock 20997 D Employee Stock Option (right to buy) 15.23 2016-01-05 4 A 0 21535 0 A 2026-01-05 Class A Common Stock 21535 21535 D Employee Stock Option (right to buy) 34 2016-01-05 4 A 0 3589 0 A 2026-01-05 Class B Common Stock 3589 3589 D This option becomes fully exercisable on January 5, 2021. /s/ Russell E. Ryba, Attorney-in-Fact for Steven D. Jackson 2016-01-06