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