Statement of Changes in Beneficial Ownership (4)
10 8월 2021 - 10:06PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Dalton Travis |
2. Issuer Name and Ticker or Trading Symbol
CERNER Corp
[
CERN
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) EVP & Chief Client & Serv. Off |
(Last)
(First)
(Middle)
2800 ROCK CREEK PARKWAY |
3. Date of Earliest Transaction
(MM/DD/YYYY)
8/6/2021 |
(Street)
NORTH KANSAS CITY, MO 64117
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock | 8/6/2021 | | A | | 2981 (1) | A | $0.00 (2) | 5676 | D | |
Common Stock | 8/6/2021 | | F | | 1344 (3) | D | $80.00 | 4332 | D | |
Common Stock | | | | | | | | 403 | I | by 401(k) Plan |
Common Stock | | | | | | | | 432 | I | by ASPP account |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Non-Qualified Stock Option (right to buy) | $65.27 | | | | | | | 5/1/2019 | 5/1/2027 | Common Stock | 5000 | | 5000 | D | |
Non-Qualified Stock Option (right to buy) | $57.24 | | | | | | | 5/4/2020 | 5/4/2028 | Common Stock | 9698 | | 9698 | D | |
Non-Qualified Stock Option (right to buy) | $65.88 | | | | | | | 4/29/2020 | 4/29/2029 | Common Stock | 6441 | | 6441 | D | |
Restricted Stock Units | $0.00 | | | | | | | 4/30/2021 | 4/28/2023 | Common Stock | 9608 | | 9608 | D | |
Restricted Stock Units | $0.00 | | | | | | | 4/29/2020 | 4/29/2022 | Common Stock | 4509 | | 4509 | D | |
Restricted Stock Units | $0.00 | | | | | | | 2/12/2022 | 2/12/2023 | Common Stock | 6672 | | 6672 | D | |
Restricted Stock Units | $0.00 | | | | | | | 4/28/2023 | 4/28/2023 | Common Stock | 7255 | | 7255 | D | |
Restricted Stock Units | $0.00 | | | | | | | 5/7/2022 | 5/7/2024 | Common Stock | 32930 | | 32930 | D | |
Explanation of Responses: |
(1) | Reporting person was granted performance-based restricted stock units ("PSUs") on August 6, 2018, which are earned based on the attainment of certain criteria unrelated to the Company's stock price. Upon satisfaction of the performance criteria, on August 6, 2021, 2,981 PSUs vested. Each PSU represents a contingent right to receive one share of Cerner Corporation common stock. |
(2) | This transaction represents a grant of restricted stock units to the reporting person by the issuer. Therefore, no consideration other than the value of services rendered was paid for the security. |
(3) | Shares withheld to satisfy the tax withholdings for the vesting of restricted stock units. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Dalton Travis 2800 ROCK CREEK PARKWAY NORTH KANSAS CITY, MO 64117 |
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| EVP & Chief Client & Serv. Off |
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Signatures
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/s/ Shane M. Dawson, by Power of Attorney | | 8/10/2021 |
**Signature of Reporting Person | Date |
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