0001567619-22-000749.txt : 20220106 0001567619-22-000749.hdr.sgml : 20220106 20220106170749 ACCESSION NUMBER: 0001567619-22-000749 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220104 FILED AS OF DATE: 20220106 DATE AS OF CHANGE: 20220106 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: 22515553 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 2022-01-04 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 Employee Stock Option (right to buy) 42.25 2022-01-04 4 A 0 4523 0 A 2032-01-04 Common Stock 4523 4523 D This option becomes fully exercisable on January 4, 2027. /s/ Michael D. Hays, by Christopher Kortum, attorney-in-fact, pursuant to a POA previously filed with the SEC 2022-01-06