SEC Form 4 · accession 0001140361-16-064421

NRC HEALTH · NRC

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Michael D. Hays

Officer — CEO · Director · 10% Owner

Period of report

Mar 3, 2015

Accepted (ET)

May 10, 2016 · 7:35 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0000070487

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Class A Common Stock^F1	Mar 3, 2015	G	281,638	$0.00	A	5,768,684	D
Class A Common Stock	Jul 10, 2015	G	564,373	$0.00	A	6,333,057	D
Class A Common Stock^F1	Aug 3, 2015	G	138,220	$0.00	A	6,471,277	D
Class A Common Stock^F1	Mar 3, 2015	G	281,638	$0.00	A	565,123	I	By Spouse
Class A Common Stock	Jul 10, 2015	G	564,373	$0.00	D	750	I	By Spouse
Class A Common Stock^F1	Aug 3, 2015	G	138,220	$0.00	A	138,970	I	By Spouse
Class B Common Stock^F3	Jul 10, 2015	G	125,000	$0.00	A	1,973,205	D
Class B Common Stock	Jul 10, 2015	G	125,000	$0.00	D	125	I	By Spouse
Class A Common Stock^F2	holding	—	—		—	75	I	By Spouse & Daughter Jt
Class B Common Stock^F2	holding	—	—		—	12	I	By Spouse & Daughter Jt

Table II — derivative securities

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Employee Stock Option (right to buy)^F4	$6.62	holding	—	—	—	—	Jan 5, 2017	Class A Common Stock	25,068	25,068	D
Employee Stock Option (right to buy)^F5	$7.59	holding	—	—	—	—	Jan 4, 2018	Class A Common Stock	21,633	21,633	D
Employee Stock Option (right to buy)^F6	$8.12	holding	—	—	—	—	Jan 5, 2019	Class A Common Stock	20,109	20,109	D
Employee Stock Option (right to buy)^F7	$6.29	holding	—	—	—	—	Jan 5, 2020	Class A Common Stock	26,481	26,481	D
Employee Stock Option (right to buy)^F8	$9.14	holding	—	—	—	—	Jan 5, 2021	Class A Common Stock	17,745	17,745	D
Employee Stock Option (right to buy)^F9	$10.75	holding	—	—	—	—	Jan 5, 2022	Class A Common Stock	14,949	14,949	D
Employee Stock Option (right to buy)^F10	$14.50	holding	—	—	—	—	Jan 7, 2023	Class A Common Stock	10,938	10,938	D
Employee Stock Option (right to buy)^F11	$18.80	holding	—	—	—	—	Jan 7, 2024	Class A Common Stock	2,904	2,904	D
Employee Stock Option (right to buy)^F12	$13.17	holding	—	—	—	—	Jan 6, 2025	Class A Common Stock	10,014	10,014	D
Employee Stock Option (right to buy)^F13	$15.23	holding	—	—	—	—	Jan 5, 2026	Class A Common Stock	9,145	9,145	D
Employee Stock Option (right to buy)^F9	$21.50	holding	—	—	—	—	Jan 5, 2022	Class B Common Stock	2,491	2,491	D
Employee Stock Option (right to buy)^F10	$27.13	holding	—	—	—	—	Jan 7, 2023	Class B Common Stock	1,823	1,823	D
Employee Stock Option (right to buy)^F11	$34.15	holding	—	—	—	—	Jan 7, 2024	Class B Common Stock	266	266	D
Employee Stock Option (right to buy)^F12	$35.48	holding	—	—	—	—	Jan 6, 2025	Class B Common Stock	1,669	1,669	D
Employee Stock Option (right to buy)^F13	$34.00	holding	—	—	—	—	Jan 5, 2026	Class B Common Stock	1,524	1,524	D

Explanation of responses

F1Return of shares of Class A Common Stock pursuant to certain GRAT agreements.
F10This option becomes fully exercisable on January 7, 2018.
F11This option becomes fully exercisable on January 7, 2019.
F12This option becomes fully exercisable on January 6, 2020.
F13This option becomes fully exercisable on January 5, 2021.
F2The reporting person disclaims beneficial ownership of these shares.
F3This Form 4 reflects the correction of a prior error in the calculation of the number of shares of Class B Common Stock beneficially owned by the reporting person following the reported transaction.
F4This option became fully exercisable on January 5, 2012.
F5This option became fully exercisable on January 4, 2013.
F6This option became fully exercisable on January 5, 2014.
F7This option became fully exercisable on January 5, 2015.
F8This option became fully exercisable on January 5, 2016.
F9This option becomes fully exercisable on January 5, 2017.