Statement of Changes in Beneficial Ownership (4)
February 17 2022 - 4:04PM
Edgar (US Regulatory)
FORM 4
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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
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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
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Dalton Travis |
2. Issuer Name and Ticker or Trading Symbol
CERNER Corp
[
CERN
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) EVP & Chief Client & Serv. Off |
(Last)
(First)
(Middle)
2800 ROCK CREEK PARKWAY |
3. Date of Earliest Transaction
(MM/DD/YYYY)
2/15/2022 |
(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 | | | | | | | | 539 | I | by 401(k) Plan |
Common Stock | | | | | | | | 454 | I | by ASPP account |
Common Stock | | | | | | | | 19188 | D | |
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) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Restricted Stock Units | $0.00 (1) | 2/15/2022 | | A | | 6486 (2) | | 4/28/2023 | 4/28/2023 | Common Stock | 6486 | $0.00 (3) | 13741 | D | |
Non-Qualified Stock Option (right to buy) | $65.27 | | | | | | | 5/1/2019 | 5/1/2027 | Common Stock | 5000 | | 5000 | D | |
Non-Qualified Stock Option (right to buy) | $57.24 | | | | | | | 5/4/2020 | 5/4/2028 | Common Stock | 9698 | | 9698 | D | |
Non-Qualified Stock Option (right to buy) | $65.88 | | | | | | | 4/29/2020 | 4/29/2029 | Common Stock | 6441 | | 6441 | D | |
Restricted Stock Units | $0.00 (1) | | | | | | | 4/30/2021 | 4/28/2023 | Common Stock | 4804 | | 4804 | D | |
Restricted Stock Units | $0.00 (1) | | | | | | | 2/12/2022 | 2/12/2023 | Common Stock | 3336 | | 3336 | D | |
Restricted Stock Units | $0.00 (1) | | | | | | | 5/7/2022 | 5/7/2024 | Common Stock | 21954 | | 21954 | D | |
Explanation of Responses: |
(1) | The RSUs convert on a one for basis for shares of common stock, without any consideration. |
(2) | Reporting person was granted performance-based restricted stock units on April 30, 2020, which are earned based on the attainment of established performance criteria unrelated to the Company's stock price. As a result of our full year 2021 performance relative to the attainment of the established Adjusted Operating Margin performance targets, the number of shares listed in this Table II were banked upon Compensation Committee approval, and will be banked until April 28, 2023, the vest date, subject to continued employment through such date. Each restricted stock unit represents a contingent right to receive one share of Cerner Corporation common stock. |
(3) | This transaction represents a grant of restricted stock units to the reporting person by the issuer. Therefore, no consideration other than the value of services rendered was paid for the security. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Dalton Travis 2800 ROCK CREEK PARKWAY NORTH KANSAS CITY, MO 64117 |
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| EVP & Chief Client & Serv. Off |
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Signatures
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/s/ Shane M. Dawson, by Power of Attorney | | 2/17/2022 |
**Signature of Reporting Person | Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
Note: | File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. |
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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