0001567619-21-022532.txt : 20211227
0001567619-21-022532.hdr.sgml : 20211227
20211227160551
ACCESSION NUMBER: 0001567619-21-022532
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211222
FILED AS OF DATE: 20211227
DATE AS OF CHANGE: 20211227
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: 211520407
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: DE
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
2021-12-22
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
2021-07-12
4
G
0
10500
0.00
D
128595
I
By Spouse
Common Stock
2021-12-22
4
M
0
14949
10.75
A
51698
D
Common Stock
2021-12-22
4
F
0
7596
40.07
D
44102
D
Employee Stock Option (right to buy)
10.75
2021-12-22
4
M
0
14949
0
D
2022-01-05
Common Stock
14949
0
D
The reporting person disclaims beneficial ownership of these shares.
This option became fully exercisable on January 5, 2017.
/s/ Michael D. Hays, by Christopher Kortum, attorney-in-fact, pursuant to a POA previously filed with the SEC
2021-12-27