-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Mesz4pa56roF544aPI6avNvF8v3FQ8nBSj1c657wkdn5Kf2CTeKCa6vpeGh4LbYT ZTrJbFkMPhwVQ0pEuKndkg== 0000804753-01-000004.txt : 20010123 0000804753-01-000004.hdr.sgml : 20010123 ACCESSION NUMBER: 0000804753-01-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20001231 FILED AS OF DATE: 20010110 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CERNER CORP /MO/ CENTRAL INDEX KEY: 0000804753 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373] IRS NUMBER: 431196944 STATE OF INCORPORATION: DE FISCAL YEAR END: 1230 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 000-15386 FILM NUMBER: 1506662 BUSINESS ADDRESS: STREET 1: 2800 ROCKCREEK PKWY-STE 601 CITY: KANSAS CITY STATE: MO ZIP: 64117 BUSINESS PHONE: 8162211024 MAIL ADDRESS: STREET 1: 2800 ROCKCREEK PKWY STREET 2: DROP 1624 CITY: KANSAS CITY STATE: MO ZIP: 64117 COMPANY DATA: COMPANY CONFORMED NAME: BLACK PAUL M CENTRAL INDEX KEY: 0001087066 STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000] OFFICER IRS NUMBER: 479586308 FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: CERNER CORP STREET 2: 2800 ROCKCREEK PARKWAY CITY: KANSAS CITY STATE: MO ZIP: 64117 BUSINESS PHONE: 8162011593 MAIL ADDRESS: STREET 1: CERNER CORP STREET 2: 2800 ROCKCREEK PARKWAY CITY: KANSAS CITY STATE: MO ZIP: 64117 4 1 0001.txt UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 4 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP [ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. 1. Name and Address of Reporting Person(s) Black, Paul M 2800 Rockcreek Parkway Kansas City, MO 64117-2551 2. Issuer Name and Ticker or Trading Symbol Cerner Corporation (CERN) 3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary) 4. Statement for Month/Year 12/00 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) [ ] Director [ ] 10% Owner [X] Officer (give title below) [ ] Other (specify below) Chief Sales Officer & Exec VP 7. Individual or Joint/Group Filing (Check Applicable Line) [X] Form filed by One Reporting Person [ ] Form filed by More than One Reporting Person
Table I Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned - ------------------------------------------------------------------------------------------------------------------------------------ 1)Title of Security 2)Trans- 3.Trans- 4.Securities Acquired(A) 5)Amount of 6) 7)Nature of action action or Disposed of (D) Securities Indirect Date Code A Beneficially D Beneficial (Month/ or Owned at or Ownership Day/Year) Code V Amount D Price End of Month I - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 12/13/00 X 1,500 A $15.000000 D Direct Common Stock 12/13/00 X 60 A $12.562500 D Direct Common Stock 12/13/00 X 3,940 A $12.562500 D Direct Common Stock 12/13/00 S 3,940 D $54.536873 D Direct Common Stock 12/13/00 M 2,400 A $13.312500 10,644 D Direct Common Stock 198 I by Trust Table II (PART 1) Derivative Securities Acquired, Disposed of, or Beneficially Owned (Columns 1 through 6) - ------------------------------------------------------------------------------------------------------------------------------------ 1)Title of Derivative 2)Conversion 3)Trans- 4)Trans- 5)Number of Derivative 6)Date Exercisable and Security or Exercise action action Securities Acquired (A) Expiration Date Price of Date Code or Disposed of (D) Derivative Security Code V A D Exercisable Expiration - ------------------------------------------------------------------------------------------------------------------------------------ Incentive Stock Option (right $13.312500 12/13/00 M 2,400 04/21/04 to buy) Non-Qualified Stock Option $12.562500 12/13/00 X 60 (1) 07/20/19 (right to buy) Non-Qualified Stock Option $12.562500 12/13/00 X 3,940 (1) 07/20/19 (right to buy) Non-Qualified Stock Option $15.000000 12/13/00 X 1,500 (2) 07/29/21 (right to buy) Table II (PART 2) Derivative Securities Acquired, Disposed of, or Beneficially Owned (Columns 1,3 and 7 through 11) - ------------------------------------------------------------------------------------------------------------------------------------ 1)Title of Derivative 3)Trans- 7)Title and Amount 8)Price 9)Number of 10) 11)Nature of Security action of Underlying of Deri- Derivative Indirect Date Securities vative Securities D Beneficial Amount or Security Beneficially or Ownership Number of Owned at I - Title Shares End of Month - ------------------------------------------------------------------------------------------------------------------------------------ Incentive Stock Option (right 12/13/00 Common Stock 2,400 17,600 D Direct to buy) Non-Qualified Stock Option 12/13/00 Common Stock 60 D Direct (right to buy) Non-Qualified Stock Option 12/13/00 Common Stock 3,940 6,000 D Direct (right to buy) Non-Qualified Stock Option 12/13/00 Common Stock 1,500 8,620 D Direct (right to buy) Explanation of Responses: (1) The options become exercisable in eleven installments at various amounts, commencing March 31, 1995. (2) The option becomes exercisable in ten equal installments, commencing one year after the date of grant.
SIGNATURE OF REPORTING PERSON /S/ Black, Paul M DATE -----END PRIVACY-ENHANCED MESSAGE-----