-----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, RASPazoxRWuRlZqRZqrBxHY+Nxy8gv6KJU2fPIG9p4pChBKKDOH/6YCLsRNUWi3Y UzduZY1ak1eHwcslapOygQ== 0001035704-03-000016.txt : 20030114 0001035704-03-000016.hdr.sgml : 20030114 20030109094255 ACCESSION NUMBER: 0001035704-03-000016 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030101 FILED AS OF DATE: 20030109 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: BURKE ZANE M CENTRAL INDEX KEY: 0001213555 RELATIONSHIP: OFFICER FILING VALUES: FORM TYPE: 3 MAIL ADDRESS: STREET 1: C/O CERNER CORP STREET 2: 2800 ROCKCREEK PARKWAY CITY: KANSAS CITY STATE: MO ZIP: 64117-2551 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: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-15386 FILM NUMBER: 03508557 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 3 1 c73950be3.htm FORM 3 Cerner Corporation
 

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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 3

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934,
Section 17(a) of the Public Utility Holding Company Act of 1935 or
Section 30(h) of the Investment Company Act of 1940


1. Name and Address of Reporting
Person*
(Last, First, Middle)
2. Date of Event Requiring Statement
(Month/Day/Year)
3. I.R.S. Identification Number of Reporting
Person, if an entity
(voluntary)
  Burke, Zane M.
  January 1, 2003
 
  2800 Rockcreek Parkway

(Street)
4. Issuer Name and Ticker or Trading Symbol 5. Relationship of Reporting Person(s) to Issuer
(Check All Applicable)
    Cerner Corporation CERN
  o  Director
o  10% Owner
x  Officer (give title below)
o  Other (specify below)
  Kansas City, MO 64117
(City)         (State)        (Zip)
6. If Amendment, Date of Original
(Month/Day/Year)
  West President
   
7. Individual or Joint/Group Filing
(Check Applicable Line)
                x  Form filed by One Reporting Person
o  Form filed by More than One Reporting Person

*   If the form is filed by more than one reporting person, see Instruction 5(b)(v).
 
Reminder:   Report on a separate line for each class of securities beneficially owned directly or indirectly.

 


 


Table I — Non-Derivative Securities Beneficially Owned

1. Title of Security
(Instr. 4)
2. Amount of Securities Beneficially Owned
(Instr. 4)
3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
4. Nature of Indirect Beneficial Ownership
(Instr. 5)

  Common Stock     1,048     D  

  Common Stock     1,469     I   By Trust

  Common Stock     293     I   By Managed Account

           

           

           

           

Page 2


 

                           

Table II — Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)

1. Title of
Derivative
Security

(Instr. 4)
2. Date Exercisable and
Expiration Date

(Month/Day/Year)
3. Title and Amount of Securities
Underlying Derivative Security

(Instr. 4)
4. Conversion or
Exercise Price
of Derivative
Security
5. Ownership Form of
Derivative Security:
Direct (D) or Indirect (I)

(Instr. 5)
6. Nature of Indirect Beneficial Ownership
(Instr. 5)

      Date
Exer-
cisable
Expi-
ration
Date
 
Title
Amount
or
Number
of Shares
           

  Common Stock   (1) 6/5/10   Common Stock 2,500 $24.00   D  

  Common Stock   (1) 10/10/11   Common Stock 1,750 $15.00   D  

  Common Stock   (1) 10/10/22   Common Stock 667 $26.00   D  

  Common Stock   (1) 10/1/23   Common Stock 700 $22.00   D  

  Common Stock   (1) 6/1/10   Common Stock 3,640 $25.00   D  

  Common Stock   (1) 6/14/11   Common Stock 2,090 $18.6875   D  

  Common Stock   4/30/00 4/30/09   Common Stock 235 $17.04   D  

  Common Stock   (2) 6/14/11   Common Stock 2,000 $43.29      

  Common Stock   (2) 4/5/12   Common Stock 5,000 $46.23      

Explanation of Responses:

(1) Options vest over ten years, beginning one year from grant date.

(2) Options vest over five years, beginning two years from grant date.

Zane M. Burke   1/9/03

**Signature of Reporting Person
 
Date


 
**   Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
 
Note:   File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
 

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