0001209191-21-044958.txt : 20210702 0001209191-21-044958.hdr.sgml : 20210702 20210702162052 ACCESSION NUMBER: 0001209191-21-044958 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210630 FILED AS OF DATE: 20210702 DATE AS OF CHANGE: 20210702 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Begor Mark W CENTRAL INDEX KEY: 0001335111 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-00395 FILM NUMBER: 211070383 MAIL ADDRESS: STREET 1: 181 METRO DRIVE CITY: SAN JOSE STATE: CA ZIP: 95110 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 2021-06-30 0 0000070866 NCR CORP NCR 0001335111 Begor Mark W 864 SPRING STREET NW ATLANTA GA 30308 1 0 0 0 Phantom Stock Units 2021-06-30 4 A 0 973 45.61 A Common Stock 973 973 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 Mark W. Begor 2021-07-02