Statement of Changes in Beneficial Ownership (4)
February 14 2017 - 6:25PM
Edgar (US Regulatory)
FORM 4
[ ]
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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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
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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
*
PATTERSON NEAL L
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2. Issuer Name
and
Ticker or Trading Symbol
CERNER CORP /MO/
[
CERN
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
_____ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
Chairman and CEO
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(Last)
(First)
(Middle)
2800 ROCKCREEK PARKWAY
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3. Date of Earliest Transaction
(MM/DD/YYYY)
2/10/2017
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(Street)
NORTH KANSAS CITY, MO 64117
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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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)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock
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1/6/2017
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J
(1)
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1000000
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D
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$0.00
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17660573
(2)
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I
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by Revocable Trust
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Common Stock
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2/10/2017
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M
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320000
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A
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$13.4525
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17980573
(2)
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I
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by Revocable Trust
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Common Stock
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2/10/2017
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F
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182761
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D
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$51.50
(3)
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17797812
(2)
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I
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by Revocable Trust
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Common Stock
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1/6/2017
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J
(1)
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1000000
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A
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$0.00
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1000000
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I
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by Grantor Retained Annuity Trust
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Common Stock
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209552
(2)
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I
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by Spouse
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Common Stock
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2898940
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I
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by Spouse as sole Trustee of Irrevocable Trust for children
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Common Stock
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136122
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I
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by 401(k) Plan
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Common Stock
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250970
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I
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by Charitable Remainder Trust
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Common Stock
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540230
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I
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by Trust as Co-Trustee
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Non-Quallified Stock Option (right to buy)
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$13.4525
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2/10/2017
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M
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320000
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3/9/2012
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3/9/2017
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Common Stock
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320000
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$13.4525
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0
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D
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Non-Qualified Stock Option (right to buy)
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$21.30
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3/12/2012
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3/12/2020
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Common Stock
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240000
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240000
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D
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Non-Qualified Stock Option (right to buy)
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$25.80
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3/11/2013
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3/11/2021
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Common Stock
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220000
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220000
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D
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Non-Qualified Stock Option (right to buy)
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$38.43
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3/9/2014
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3/9/2022
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Common Stock
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160000
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160000
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D
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Non-Qualified Stock Option (right to buy)
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$44.615
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3/1/2015
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3/1/2023
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Common Stock
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160000
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160000
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D
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Non-Qualified Stock Option (right to buy)
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$60.37
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3/7/2016
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3/7/2024
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Common Stock
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146500
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146500
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D
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Non-Qualified Stock Option (right to buy)
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$70.91
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3/12/2017
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3/12/2025
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Common Stock
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146500
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146500
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D
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Non-Qualified Stock Option (right to buy)
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$54.01
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3/11/2018
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3/11/2026
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Common Stock
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157000
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157000
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D
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Non-Qualified Stock Option (right to buy)
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$10.055
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3/14/2013
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3/14/2018
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Common Stock
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288000
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288000
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D
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Non-Qualified Stock Option (right to buy)
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$9.18
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3/6/2011
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3/6/2019
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Common Stock
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280000
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280000
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D
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Non-Quallified Stock Option (right to buy)
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$3.7032
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6/28/2005
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6/28/2020
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Common Stock
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1138000
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1138000
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D
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Explanation of Responses:
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(
1)
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This 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.
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(
2)
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A portion of the reporting person's beneficial ownership (112,000 shares) has been incorrectly reported as held "by Revocable Trust" and is now reported as held "by Spouse". The total beneficial ownership is not affected by the reclassification.
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(
3)
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Fair market value per share of shares withheld to satisfy the exercise price and tax withholdings of net exercise of options.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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PATTERSON NEAL L
2800 ROCKCREEK PARKWAY
NORTH KANSAS CITY, MO 64117
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X
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Chairman and CEO
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Signatures
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/s/Shane M. Dawson, by Power of Attorney
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2/14/2017
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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