0001209191-17-059165.txt : 20171103 0001209191-17-059165.hdr.sgml : 20171103 20171103161640 ACCESSION NUMBER: 0001209191-17-059165 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171101 FILED AS OF DATE: 20171103 DATE AS OF CHANGE: 20171103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Benjamin Mark D CENTRAL INDEX KEY: 0001525550 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-00395 FILM NUMBER: 171176607 MAIL ADDRESS: STREET 1: ONE ADP BOULEVARD CITY: ROSELAND STATE: NJ ZIP: 07068 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: 3097 SATELLITE BLVD CITY: DULUTH STATE: GA ZIP: 30096 BUSINESS PHONE: 9374455000 MAIL ADDRESS: STREET 1: 3097 SATELLITE BLVD CITY: DULUTH STATE: GA ZIP: 30096 FORMER COMPANY: FORMER CONFORMED NAME: NATIONAL CASH REGISTER CO DATE OF NAME CHANGE: 19740617 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-11-01 0 0000070866 NCR CORP NCR 0001525550 Benjamin Mark D 7 WORLD TRADE CENTER 250 GREENWICH ST., 35TH FLOOR NEW YORK NY 10007 0 1 0 0 President, COO Common Stock 2017-11-01 4 M 0 61046 0.00 A 61046 D Common Stock 2017-11-01 4 F 0 28122 31.65 D 32924 D Restricted Stock Units 0.00 2017-11-01 4 M 0 61046 0.00 D Common Stock 61046 0 D Represents the conversion of restricted stock units that vested on November 1, 2017. The performance related conditions of these restricted stock units were satisfied on July 25, 2017. These shares were withheld to cover tax withholding obligations when 61,046 restricted stock units vested on November 1, 2017. Laura J. Foltz, Attorney-in-Fact for Mark D. Benjamin 2017-11-03