SEC Form 5 · accession 0001209191-17-003684
CERNER CORP /MO/ · CERN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Clifford W Illig
Officer — Vice Chairman · Director
Period of report
Dec 31, 2016
Accepted (ET)
Jan 13, 2017 · 4:40 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000804753
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Dec 31, 2016 | J | 561 | $56.87 | A | 75,257 | I | by 401(k) Plan |
| Common Stock | holding | — | — | — | 6,652,392 | D | ||
| Common Stock | holding | — | — | — | 782,668 | I | By spouse | |
| Common Stock | holding | — | — | — | 95,000 | I | By Trust as Co-Trustee | |
| Common Stock | holding | — | — | — | 108,000 | I | By Trust as Co-Trustee | |
| Common Stock | holding | — | — | — | 6,417,736 | I | by Revocable Trust | |
| Common Stock | holding | — | — | — | 391,336 | I | By Trust as Co-Trustee | |
| Common Stock | holding | — | — | — | 391,332 | I | By Trust as Co-Trustee |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Non-Qualified Stock Option (right to buy) | $10.055 | holding | — | — | — | Mar 14, 2013 | Mar 14, 2018 | Common Stock | 40,000 | 40,000 | D |
| Non-Qualified Stock Option (right to buy) | $9.18 | holding | — | — | — | Mar 6, 2011 | Mar 6, 2019 | Common Stock | 40,000 | 40,000 | D |
| Non-Qualified Stock Option (right to buy) | $21.30 | holding | — | — | — | Mar 12, 2012 | Mar 12, 2020 | Common Stock | 40,000 | 40,000 | D |
| Non-Qualified Stock Option (right to buy) | $25.80 | holding | — | — | — | Mar 11, 2013 | Mar 11, 2021 | Common Stock | 40,000 | 40,000 | D |
| Non-Qualified Stock Option (right to buy) | $38.43 | holding | — | — | — | Mar 9, 2014 | Mar 9, 2022 | Common Stock | 30,000 | 30,000 | D |
| Non-Qualified Stock Option (right to buy) | $44.615 | holding | — | — | — | Mar 1, 2015 | Mar 1, 2023 | Common Stock | 30,000 | 30,000 | D |
| Non-Qualified Stock Option (right to buy) | $60.37 | holding | — | — | — | Mar 7, 2016 | Mar 7, 2024 | Common Stock | 25,000 | 25,000 | D |
| Non-Qualified Stock Option (right to buy) | $70.91 | holding | — | — | — | Mar 12, 2017 | Mar 12, 2025 | Common Stock | 25,000 | 25,000 | D |
| Non-Qualified Stock Option (right to buy) | $54.01 | holding | — | — | — | Mar 11, 2018 | Mar 11, 2026 | Common Stock | 30,000 | 30,000 | D |
Explanation of responses
- F1Represents shares acquired through routine payroll deduction and participation in the issuer's 401(k) plan between 01/03/2016 and 12/31/2016, at prices ranging from $49.57 to $66.55 per share. Balance is based on plan statement as of 12/31/2016. This transaction qualifies as a nondiscretionary transaction from a tax-qualified plan.
- F2Full information regarding the number of shares purchased at each separate price will be provided upon request by the Commission staff, Cerner Corporation, or a Cerner shareholder.