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