0000921895-22-002147.txt : 20220705
0000921895-22-002147.hdr.sgml : 20220705
20220705173557
ACCESSION NUMBER: 0000921895-22-002147
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220630
FILED AS OF DATE: 20220705
DATE AS OF CHANGE: 20220705
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Welling Glenn W.
CENTRAL INDEX KEY: 0001580771
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-00395
FILM NUMBER: 221066634
MAIL ADDRESS:
STREET 1: 610 NEWPORT CENTER DRIVE
STREET 2: SUITE 250
CITY: NEWPORT BEACH
STATE: CA
ZIP: 92660
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: NCR CORP
CENTRAL INDEX KEY: 0000070866
STANDARD INDUSTRIAL CLASSIFICATION: CALCULATING & ACCOUNTING MACHINES (NO ELECTRONIC COMPUTERS) [3578]
IRS NUMBER: 310387920
STATE OF INCORPORATION: MD
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 864 SPRING STREET NW
CITY: ATLANTA
STATE: GA
ZIP: 30309
BUSINESS PHONE: 9374455000
MAIL ADDRESS:
STREET 1: 864 SPRING STREET NW
CITY: ATLANTA
STATE: GA
ZIP: 30309
FORMER COMPANY:
FORMER CONFORMED NAME: NATIONAL CASH REGISTER CO
DATE OF NAME CHANGE: 19740617
4
1
form409455042_07052022.xml
OWNERSHIP DOCUMENT
X0306
4
2022-06-30
0
0000070866
NCR CORP
NCR
0001580771
Welling Glenn W.
610 NEWPORT CENTER DRIVE
SUITE 250
NEWPORT BEACH
CA
92660
1
0
0
0
Common Stock
2022-06-30
4
A
0
864
31.11
A
7343
D
Common Stock
2234835
I
By: Engaged Capital Flagship Master Fund, LP
Common Stock
2100466
I
By: Engaged Capital Co-Invest XIV, LP
Common Stock
117155
I
By: Managed Account of Engaged Capital, LLC
These are shares of common stock issued under the NCR Director Compensation Program (the "Compensation Program") as part of Mr. Welling's annual retainer, which is paid quarterly. Mr. Welling elected to receive all of the annual retainer in current common stock in accordance with the terms of the Compensation Program.
Securities owned directly by Engaged Capital Flagship Master Fund, LP ("Engaged Capital Flagship Master"). Mr. Welling, by virtue of his position as the founder and Chief Investment Officer of Engaged Capital, LLC ("Engaged Capital"), the general partner and investment adviser of Engaged Capital Flagship Master, and as the sole member of Engaged Capital Holdings, LLC ("Engaged Holdings"), the managing member of Engaged Capital, may be deemed to beneficially own the securities owned directly by Engaged Capital Flagship Master.
Securities owned directly by Engaged Capital Co-Invest XIV, LP ("Engaged Capital Co-Invest XIV"). Mr. Welling, by virtue of his position as the founder and Chief Investment Officer of Engaged Capital, the general partner and investment adviser of Engaged Capital Co-Invest XIV, and as the sole member of Engaged Holdings, the managing member of Engaged Capital, may be deemed to beneficially own the securities owned directly by Engaged Capital Co-Invest XIV.
Securities held in an account separately managed by Engaged Capital (the "Engaged Capital Account"). Mr. Welling, by virtue of his position as the founder and Chief Investment Officer of Engaged Capital, the investment adviser of the Engaged Capital Account, and as the sole member of Engaged Holdings, the managing member of Engaged Capital, may may be deemed to beneficially own the securities held in the Engaged Capital Account.
Mr. Welling disclaims beneficial ownership of the securities reported herein except to the extent of his pecuniary interest therein, and this report shall not be deemed to be an admission that Mr. Welling is the beneficial owner of such securities for purposes of Section 16 or for any other purpose.
/s/ Glenn W. Welling
2022-07-05