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SC 13G/A Filing
National Research (NRC) SC 13G/ANational Research Corp
Filed: 29 Jan 18, 12:00am
1 | NAME OF REPORTING PERSONS Michael D. Hays | ||||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) Not Applicable | (a) ☐ (b) ☐ | |||
3 | SEC USE ONLY | ||||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION United States | ||||
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 5 | SOLE VOTING POWER Class A Common Stock – 5,351,632 Class B Common Stock – 4,314 | |||
6 | SHARED VOTING POWER Class A Common Stock – 139,045 Class B Common Stock – 137 | ||||
7 | SOLE DISPOSITIVE POWER Class A Common Stock – 5,351,632 Class B Common Stock – 4,314 | ||||
8 | SHARED DISPOSITIVE POWER Class A Common Stock – 139,045 Class B Common Stock – 137 | ||||
9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON Class A Common Stock – 5,490,677 Class B Common Stock – 4,451 | ||||
10 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) Not Applicable | ☐ | |||
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) Class A Common Stock – 26.1% (1) Class B Common Stock – 0.1% (2) | ||||
12 | TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) IN |
(1) | This percentage based on 20,963,782 shares of Class A Common Stock outstanding as of January 19, 2018 and 90,222 shares of Class A Common Stock issuable upon the exercise of vested stock options (with the percent ownership calculated using the number of outstanding shares of Class A Common Stock and assuming the exercise of the stock options by the reporting person). |
(2) | This percentage based on 3,540,857 shares of Class B Common Stock outstanding as of January 19, 2018 and 4,314 shares of Class B Common Stock issuable upon the exercise of vested stock options (with the percent ownership calculated using the number of outstanding shares of Class A Common Stock and assuming the exercise of the stock options by the reporting person). |
Item 1(a). | Name of Issuer: |
Item 1(b). | Address of Issuer’s Principal Executive Offices: |
Item 2(a). | Name of Person Filing: |
Item 2(b). | Address of Principal Business Office or, if none, Residence: |
Item 2(c). | Citizenship: |
Item 2(d). | Title of Class of Securities: |
Item 2(e). | CUSIP Number: |
Item 3. | If this statement is filed pursuant to sections 240.13d-1(b), or 240.13d-2(b) or (c), check whether the person filing is a: |
Item 4. | Ownership (as of January 26, 2018): |
(a) | Amount Beneficially Owned: 5,490,677* |
(b) | Percent of Class: 26.1% |
(c) | Number of shares as to which such person has: |
(i) | sole power to vote or to direct the vote: 5,351,632 |
(ii) | shared power to vote or to direct the vote: 139,045 |
(iii) | sole power to dispose or to direct the disposition of: 5,351,632 |
(iv) | shared power to dispose or to direct the disposition of: 139,045 |
(a) | Amount Beneficially Owned: 4,451** |
(b) | Percent of Class: 0.1% |
(c) | Number of shares as to which such person has: |
(i) | sole power to vote or to direct the vote: 4,314 |
(ii) | shared power to vote or to direct the vote: 137 |
(iii) | sole power to dispose or to direct the disposition of: 4,314 |
(iv) | shared power to dispose or to direct the disposition of: 137 |
Item 5. | Ownership of Five Percent or Less of a Class: |
Item 6. | Ownership of More than Five Percent on Behalf of Another Person: |
Item 7. | Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company or Control Person: |
Item 8. | Identification and Classification of Members of the Group: |
Item 9. | Notice of Dissolution of Group: |
Item 10. | Certification: |