0001567619-22-003867.txt : 20220214
0001567619-22-003867.hdr.sgml : 20220214
20220214095731
ACCESSION NUMBER: 0001567619-22-003867
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211231
FILED AS OF DATE: 20220214
DATE AS OF CHANGE: 20220214
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hays Michael D.
CENTRAL INDEX KEY: 0001053133
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35929
FILM NUMBER: 22626479
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
5
1
doc1.xml
FORM 5
X0306
5
2021-12-31
0
0
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
2021-08-31
5
G
0
10000
0
D
118595
I
By Spouse
Common Stock
2021-11-04
5
G
0
16500
0
D
102095
I
By Spouse
Common Stock
2021-12-29
5
G
0
10000
0
D
34102
D
The reporting person disclaims beneficial ownership of these shares.
/s/ Michael D. Hays, by Christopher Kortum, attorney-in-fact, pursuant to a POA previously filed with the SEC
2022-02-14