0001140361-18-018978.txt : 20180418
0001140361-18-018978.hdr.sgml : 20180418
20180418180632
ACCESSION NUMBER: 0001140361-18-018978
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180417
FILED AS OF DATE: 20180418
DATE AS OF CHANGE: 20180418
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: 18762115
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: 18762116
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
2018-04-17
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 B Common Stock
2018-04-17
4
D
0
1884205
D
0
I
By Amandla II, LLC
Common Stock
2018-04-17
4
A
0
1884205
A
7378645
I
By Amandla II, LLC
On April 17, 2018, the Issuer completed a recapitalization whereby the Issuer exchanged one share of its then-existing class A common stock, plus $19.59 in cash, without interest, for each share of its then-existing class B common stock and, following such exchange, each share of class A common stock was reclassified as a share of Common Stock.
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
2018-04-18
/s/ Russell E. Ryba, Attorney-in-Fact for Patrick E. Beans, as Special Holdings Direction Adviser under the Amandla MK Trust
2018-04-18