SEC Form 5 · accession 0001209191-17-003687
CERNER CORP /MO/ · CERN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Neal L Patterson
Officer — Chairman and CEO · Director
Period of report
Dec 31, 2016
Accepted (ET)
Jan 13, 2017 · 4:43 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 Stock | Oct 4, 2016 | J | 188 | $0.00 | D | 19,133,715 | I | by Revocable Trust |
| Common Stock | Oct 4, 2016 | G | 72,580 | $0.00 | D | 19,061,135 | I | by Revocable Trust |
| Common Stock | Oct 6, 2016 | J | 188,522 | $0.00 | D | 18,872,613 | I | by Revocable Trust |
| Common Stock | Dec 13, 2016 | J | 45,840 | $0.00 | D | 18,826,773 | I | by Revocable Trust |
| Common Stock | Dec 27, 2016 | G | 54,200 | $0.00 | D | 18,772,573 | I | by Revocable Trust |
| Common Stock | Oct 4, 2016 | J | 188 | $0.00 | A | 305,868 | I | by Trust as Co-Trustee |
| Common Stock | Oct 6, 2016 | J | 188,522 | $0.00 | A | 494,390 | I | by Trust as Co-Trustee |
| Common Stock | Dec 13, 2016 | J | 45,840 | $0.00 | A | 540,230 | I | by Trust as Co-Trustee |
| Common Stock | holding | — | — | — | 250,970 | I | by Charitable Remainder Trust | |
| Common Stock | holding | — | — | — | 136,122 | I | by 401(k) Plan | |
| Common Stock | holding | — | — | — | 2,898,940 | I | by Spouse as sole Trustee of Irrevocable Trust for children | |
| Common Stock | holding | — | — | — | 97,552 | I | by Spouse |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Non-Quallified Stock Option (right to buy) | $3.7032 | holding | — | — | — | Jun 28, 2005 | Jun 28, 2020 | Common Stock | 1,138,000 | 1,138,000 | D |
| Non-Quallified Stock Option (right to buy) | $13.4525 | holding | — | — | — | Mar 9, 2012 | Mar 9, 2017 | Common Stock | 320,000 | 320,000 | D |
| Non-Qualified Stock Option (right to buy) | $9.18 | holding | — | — | — | Mar 6, 2011 | Mar 6, 2019 | Common Stock | 280,000 | 280,000 | D |
| Non-Qualified Stock Option (right to buy) | $10.055 | holding | — | — | — | Mar 14, 2013 | Mar 14, 2018 | Common Stock | 288,000 | 288,000 | D |
| Non-Qualified Stock Option (right to buy) | $54.01 | holding | — | — | — | Mar 11, 2018 | Mar 11, 2026 | Common Stock | 157,000 | 157,000 | D |
| Non-Qualified Stock Option (right to buy) | $70.91 | holding | — | — | — | Mar 12, 2017 | Mar 12, 2025 | Common Stock | 146,500 | 146,500 | D |
| Non-Qualified Stock Option (right to buy) | $60.37 | holding | — | — | — | Mar 7, 2016 | Mar 7, 2024 | Common Stock | 146,500 | 146,500 | D |
| Non-Qualified Stock Option (right to buy) | $44.615 | holding | — | — | — | Mar 1, 2015 | Mar 1, 2023 | Common Stock | 160,000 | 160,000 | D |
| Non-Qualified Stock Option (right to buy) | $38.43 | holding | — | — | — | Mar 9, 2014 | Mar 9, 2022 | Common Stock | 160,000 | 160,000 | D |
| Non-Qualified Stock Option (right to buy) | $25.80 | holding | — | — | — | Mar 11, 2013 | Mar 11, 2021 | Common Stock | 220,000 | 220,000 | D |
| Non-Qualified Stock Option (right to buy) | $21.30 | holding | — | — | — | Mar 12, 2012 | Mar 12, 2020 | Common Stock | 240,000 | 240,000 | D |
Explanation of responses
- F1This transaction is neither a sale nor a purchase. It represents a transfer between trusts in which the reporting person has indirect ownership and as such is a change in form of beneficial ownership.