0001140361-18-008925.txt : 20180220
0001140361-18-008925.hdr.sgml : 20180220
20180220093318
ACCESSION NUMBER: 0001140361-18-008925
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180215
FILED AS OF DATE: 20180220
DATE AS OF CHANGE: 20180220
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BEANS PATRICK E
CENTRAL INDEX KEY: 0001247187
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35929
FILM NUMBER: 18623345
MAIL ADDRESS:
STREET 1: AMANDLA LLC
STREET 2: 709 PIER 2
CITY: LINCOLN
STATE: NE
ZIP: 68528
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Amandla MK Trust
CENTRAL INDEX KEY: 0001729470
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35929
FILM NUMBER: 18623346
BUSINESS ADDRESS:
STREET 1: C/O THE BRYN MAWR TRUST COMPANY OF DELAW
STREET 2: 20 MONTCHANIN RD, SUITE 100
CITY: GREENVILLE
STATE: DE
ZIP: 19807
BUSINESS PHONE: 302-798-1790
MAIL ADDRESS:
STREET 1: C/O THE BRYN MAWR TRUST COMPANY OF DELAW
STREET 2: 20 MONTCHANIN RD, SUITE 100
CITY: GREENVILLE
STATE: DE
ZIP: 19807
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
X0306
4
2018-02-15
0
0000070487
NATIONAL RESEARCH CORP
NRCIA/B
0001729470
Amandla MK Trust
C/O THE BRYN MAWR TRUST COMPANY OF DELAW
20 MONTCHANIN RD, SUITE 100
GREENVILLE
DE
19807
0
0
1
0
0001247187
BEANS PATRICK E
709 PIER 2
LINCOLN
NE
68528
1
1
0
0
CFO and Secretary
Class A Common Stock
2018-02-15
4
P
0
5494440
19.31
A
5494440
I
By Amandla II, LLC
Class B Common Stock
1884205
I
By Amandla II, LLC
Shares were indirectly purchased via the issuance of a promissory note.
This Form 4 is being filed by the Amandla MK Trust and by Patrick E. Beans, as Special Holdings Direction Adviser under the Amandla MK Trust.
/s/ Russell E. Ryba, Attorney-in-Fact for Patrick E. Beans, as Special Holdings Direction Adviser
2018-02-20
/s/ Russell E. Ryba, Attorney-in-Fact for Patrick E. Beans, as Special Holdings Direction Adviser under the Amandla MK Trust
2018-02-20