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