0001209191-18-052975.txt : 20181002 0001209191-18-052975.hdr.sgml : 20181002 20181002140326 ACCESSION NUMBER: 0001209191-18-052975 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180930 FILED AS OF DATE: 20181002 DATE AS OF CHANGE: 20181002 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CLEMMER RICHARD L CENTRAL INDEX KEY: 0001222781 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-00395 FILM NUMBER: 181100645 MAIL ADDRESS: STREET 1: P O BOX 34552 CITY: LAS VEGAS STATE: NV ZIP: 89129 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 doc4.xml FORM 4 SUBMISSION X0306 4 2018-09-30 0 0000070866 NCR CORP NCR 0001222781 CLEMMER RICHARD L 864 SPRING STREET NW ATLANTA GA 30308 1 0 0 0 Phantom Stock Units 2018-09-30 4 A 0 960 28.41 A Common Stock 960 960 D These are stock units acquired under the NCR Director Compensation Program (the "Compensation Program") as part of the reporting person's annual retainer, which is paid quarterly. The reporting person elected to defer receipt of the annual retainer in accordance with the terms of the Compensation Program. The phantom stock units are converted into common stock on a one-for-one basis. The phantom stock units become payable in common stock following the reporting person's termination of service as a director. Laura J. Foltz, Attorney-in-Fact for Richard L. Clemmer 2018-10-02