0001209191-22-000992.txt : 20220104 0001209191-22-000992.hdr.sgml : 20220104 20220104171739 ACCESSION NUMBER: 0001209191-22-000992 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211231 FILED AS OF DATE: 20220104 DATE AS OF CHANGE: 20220104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Campbell Daniel William CENTRAL INDEX KEY: 0001731024 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-00395 FILM NUMBER: 22507458 MAIL ADDRESS: STREET 1: 864 SPRING STREET NW CITY: ATLANTA STATE: GA ZIP: 30308 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 2021-12-31 0 0000070866 NCR CORP NCR 0001731024 Campbell Daniel William 864 SPRING STREET NW ATLANTA GA 30308 0 1 0 0 Executive VP, Global Sales Common Stock 2021-12-31 4 F 0 13948 40.20 D 58639 D These shares were withheld to cover tax withholding obligations resulting from the December 31, 2021 vesting of 31,771 previously reported restricted stock units awarded under the long-term NCR Strategic Transformation Fitness Plan pursuant to the Second Amended and Restated NCR Management Incentive Plan. Laura J. Foltz, Attorney-in-Fact for Daniel William Campbell 2022-01-04