0001209191-22-009786.txt : 20220215 0001209191-22-009786.hdr.sgml : 20220215 20220215162420 ACCESSION NUMBER: 0001209191-22-009786 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220212 FILED AS OF DATE: 20220215 DATE AS OF CHANGE: 20220215 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Potter Beth CENTRAL INDEX KEY: 0001792506 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-00395 FILM NUMBER: 22639522 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 2022-02-12 0 0000070866 NCR CORP NCR 0001792506 Potter Beth 864 SPRING STREET NW ATLANTA GA 30308 0 1 0 0 CAO Common Stock 2022-02-12 4 F 0 377 42.00 D 14680 D Common Stock 2022-02-12 4 M 0 804 0.00 A 15484 D Common Stock 2022-02-12 4 F 0 243 42.00 D 15241 D Restricted Stock Units 0.00 2022-02-12 4 M 0 804 0.00 A Common Stock 804 804 D These shares were withheld to cover tax withholding obligations when 1,252 previously reported restricted stock units (RSUs) vested on February 12, 2022. Performance-based RSUs as to which the performance-related conditions to vesting have been previously reported as satisfied. These RSUs vest ratably, with one-third vesting on each of the first, second and third anniversaries of the February 12, 2020 grant date (each an "RSU Vesting Date"). The second one-third of such RSUs, shown in Table I, vested on February 12, 2022. Vesting of the remaining one-third of such RSUs, shown in Table II, is subject to the reporting person's continued employment with the issuer on the applicable RSU Vesting Dates in accordance with the RSU award agreement. These shares were withheld to cover tax withholding obligations when 804 restricted stock units vested on February 12, 2022 as reported herein. Laura J. Foltz, Attorney-in-Fact for Beth Potter 2022-02-15