0001140361-18-009419.txt : 20180221 0001140361-18-009419.hdr.sgml : 20180221 20180221170729 ACCESSION NUMBER: 0001140361-18-009419 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171229 FILED AS OF DATE: 20180221 DATE AS OF CHANGE: 20180221 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jackson Steven D. CENTRAL INDEX KEY: 0001654405 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-35929 FILM NUMBER: 18629346 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/A 1 doc1.xml FORM 4/A X0306 4/A 2017-12-29 2018-01-16 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 2017-12-29 4 F 0 32750 37.30 D 93233 D Class B Common Stock 2017-12-29 4 F 0 5752 56.06 D 15245 D The Form 4 filed on January 16, 2018 reported the award of 73,506 shares of Class A Common Stock and 12,251 shares of Class B Common Stock. These shares were originally granted as restricted stock and included on the reporting person's Form 3 filed on October 1, 2015. This amended Form 4 is being filed to remove these award transactions and to correct the total number of shares owned following the reported transactions. /s/ Russell E. Ryba, Attorney-in-Fact for Steven D. Jackson 2018-02-21