SEC Form 5 · accession 0001209191-19-004529
CERNER CORP /MO/ · CERN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David Brent Shafer
Officer — Chairman and CEO · Director
Period of report
Dec 29, 2018
Accepted (ET)
Jan 18, 2019 · 4:03 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 29, 2018 | J | 52 | $59.10 | A | 52 | I | by 401(k) Plan |
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) | $61.22 | holding | — | — | — | Feb 8, 2020 | Feb 8, 2028 | Common Stock | 182,006 | 182,006 | D |
| Restricted Stock Units | $0.00 | holding | — | — | — | Mar 1, 2018 | Mar 1, 2021 | Common Stock | 40,292 | 40,292 | D |
Explanation of responses
- F1Represents shares acquired through routine payroll deduction and participation in the issuer's 401(k) plan between 12/31/2017 and 12/29/2018, at prices ranging from $57.35 to $64.74 per share. Balance is based on plan statement as of 12/29/2018. This transaction qualifies as a non-discretionary transaction from a tax-qualified plan.
- F2Full 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.