0001567619-21-000544.txt : 20210106
0001567619-21-000544.hdr.sgml : 20210106
20210106162953
ACCESSION NUMBER: 0001567619-21-000544
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210104
FILED AS OF DATE: 20210106
DATE AS OF CHANGE: 20210106
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hays Michael D.
CENTRAL INDEX KEY: 0001053133
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35929
FILM NUMBER: 21510979
MAIL ADDRESS:
STREET 1: C/O NATIONAL RESEARCH CORPORATION
STREET 2: 1245 Q STREET
CITY: LINCOLN
STATE: NE
ZIP: 68508
FORMER NAME:
FORMER CONFORMED NAME: HAYS MICHAEL
DATE OF NAME CHANGE: 19980115
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
2021-01-04
0
0000070487
NATIONAL RESEARCH CORP
NRC
0001053133
Hays Michael D.
C/O NATIONAL RESEARCH CORP
1245 Q STREET
LINCOLN
NE
68508
1
1
0
0
CEO & President
Common Stock
2021-01-04
4
M
0
17745
9.14
A
57749
D
Common Stock
139095
I
By Spouse
Employee Stock Option (right to buy)
9.14
2021-01-04
4
M
0
17745
0
D
2021-01-05
Common Stock
17745
0
D
Employee Stock Option (right to buy)
42.92
2021-01-05
4
A
0
4452
0
A
2031-01-05
Common Stock
4452
4452
D
The reporting person disclaims beneficial ownership of these shares.
This option became fully exercisable on January 5, 2016
This option becomes fully exercisable on January 5, 2026.
/s/ Michael D. Hays, by Christopher Kortum, attorney-in-fact, pursuant to a POA previously filed with the SEC
2021-01-06