0001567619-21-003093.txt : 20210211 0001567619-21-003093.hdr.sgml : 20210211 20210211163950 ACCESSION NUMBER: 0001567619-21-003093 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210104 FILED AS OF DATE: 20210211 DATE AS OF CHANGE: 20210211 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hays Michael D. CENTRAL INDEX KEY: 0001053133 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-35929 FILM NUMBER: 21620343 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/A 1 doc1.xml FORM 4/A X0306 4/A 2021-01-04 2021-01-06 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 36749 D The original Form 4 is being amended to correct the number of securities beneficially owned by the reporting person following the reported transaction to reflect two gift transactions made by the reporting person prior to the date of the reported transaction. The gift transactions have been separately reported by the reporting person on Form 5. /s/ Michael D. Hays, by Christopher Kortum, attorney-in-fact, pursuant to a POA previously filed with the SEC 2021-02-11