Annual Statement of Changes in Beneficial Ownership (5)
22 1월 2022 - 6:04AM
Edgar (US Regulatory)
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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Form 3 Holdings Reported
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Form 4 Transactions Reported
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0362
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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 SymbolCERNER Corp [CERN] |
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. Statement for Issuer's Fiscal Year Ended (MM/DD/YYYY) 12/31/2021 |
(Street)
NORTH KANSAS CITY, MO 64117
(City)
(State)
(Zip)
| 4. If Amendment, Date Original Filed(MM/DD/YYYY) | 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) | 2. Trans. Date | 2A. Deemed Execution Date, if any | 3. Trans. Code (Instr. 8) | 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) |
Amount | (A) or (D) | Price |
Common Stock | 12/31/2021 | | J (1) | 136 | A | $72.09 (1)(2) | 539 | I | by 401(k) Plan |
Common Stock | 12/31/2021 | | J (3) | 327 | A | $62.13 (2)(3) | 759 | I | by ASPP account |
Common Stock | 6/8/2021 | | J (4) | 305 | D | $0.00 | 454 | I | by ASPP account |
Common Stock | 6/8/2021 | | J (4) | 305 | A | $0.00 | 19188 | D | |
Table II - Derivative Securities Acquired, Disposed of, or 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 (MM/DD/YYYY) | 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 at End of Issuer's Fiscal Year (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
(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 | 4804 | | 4804 | D | |
Restricted Stock Units | $0.00 | | | | | | 2/12/2022 | 2/12/2023 | Common Stock | 3336 | | 3336 | 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 | 21954 | | 21954 | D | |
Explanation of Responses: |
(1) | Represents shares acquired through routine payroll deduction and participation in the issuer's 401(k) plan between 1/16/2021 and 12/31/2021, at prices ranging from $69.58 to $80.12 per share. Balance is based on plan statement as of 12/31/2021. This transaction qualifies as a non-discretionary transaction from a tax-qualified plan. |
(2) | Full information regarding the number of shares acquired at each separate price will be provided upon request by the Commission staff, Cerner Corporation, or a Cerner shareholder. |
(3) | Represents shares purchased through the associate stock purchase plan (ASPP), an Internal Revenue Code Section 423 stock purchase plan, in transactions exempt under Rule 16b-3(c), at prices ranging from $59.92 to $79.62. |
(4) | Represents a transfer of shares between ASPP account and direct account. |
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 | | 1/21/2022 |
**Signature of Reporting Person | Date |
Cerner (NASDAQ:CERN)
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Cerner (NASDAQ:CERN)
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부터 1월(1) 2024 으로 1월(1) 2025