UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 2)*
National Research Corporation
- --------------------------------------------------------------------------------
(Name of Issuer)
Common Stock, $.001 par value
- --------------------------------------------------------------------------------
(Title of Class of Securities)
637372 10 3
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(CUSIP Number)
December 31, 1999
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(Date of Event Which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule
is filed:
[ ] Rule 13d-1(b)
[ ] Rule 13d-1(c)
[X] Rule 13d-1(d)
* The remainder of this cover page shall be filled out for a reporting person's
initial filing on this form with respect to the subject class of securities, and
for any subsequent amendment containing information which would alter the
disclosures provided in a prior cover page.
The information required on the remainder of this cover page shall not be deemed
to be "filed" for the purpose of Section 18 of the Securities Exchange Act of
1934 ("Act") or otherwise subject to the liabilities of that section of the Act
but shall be subject to all other provisions of the Act (however, see the
Notes).
(Continued on following page(s))
Page 1 of 5 Pages
<PAGE>
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CUSIP No. 637372 10 3
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================================================================================
1 NAME OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Michael D. Hays
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2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) |_|
(SEE INSTRUCTIONS) (b) |_|
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3 SEC USE ONLY
================================================================================
4 CITIZENSHIP OR PLACE OF ORGANIZATION
United States
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5 SOLE VOTING POWER
NUMBER OF 4,866,282
SHARES =============================================================
6 SHARED VOTING POWER
BENEFICIALLY
-0-
OWNED BY
=============================================================
EACH 7 SOLE DISPOSITIVE POWER
REPORTING 4,866,282
PERSON =============================================================
8 SHARED DISPOSITIVE POWER
WITH
-0-
================================================================================
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
4,866,282
================================================================================
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
(SEE INSTRUCTIONS)
|_|
================================================================================
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
69.5%
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12 TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
IN
================================================================================
Page 2 of 5 Pages
<PAGE>
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CUSIP No. 637372 10 3
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Item 1(a). Name of Issuer:
- --------- --------------
National Research Corporation
Item 1(b). Address of Issuer's Principal Executive Offices:
- --------- -----------------------------------------------
1033 "O" Street
Lincoln, Nebraska 68508
Item 2(a). Name of Person Filing:
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Michael D. Hays
Item 2(b). Address of Principal Business Office or, if none, Residence:
- --------- -----------------------------------------------------------
1033 "O" Street
Lincoln, Nebraska 68508
Item 2(c). Citizenship:
- --------- -----------
United States
Item 2(d). Title of Class of Securities:
- --------- ----------------------------
Common Stock, $.001 par value
Item 2(e). CUSIP Number:
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637372 10 3
Item 3. If this statement is filed pursuant to Rules 13d-1(b), or
- ------- ---------------------------------------------------------
13d-2(b) or (c), check whether the person filing is a:
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Not Applicable
Item 4. Ownership (as of December 31, 1999).
- ------ ----------------------------------
(a) Amount Beneficially Owned: 4,866,282 shares.
(b) Percent of Class: 69.5%
Page 3 of 5 Pages
<PAGE>
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CUSIP No. 637372 10 3
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(c) Number of shares as to which such person has:
(i) sole power to vote or to direct the vote
4,866,282 shares
(ii) shared power to vote or to direct the vote
- 0 -
(iii) sole power to dispose or to direct the disposition of
4,866,282 shares
(iv) shared power to dispose or to direct the disposition of
- 0 -
Item 5. Ownership of Five Percent or Less of a Class.
- ------ --------------------------------------------
Not Applicable
Item 6. Ownership of More than Five Percent on Behalf of Another Person.
- ------ ---------------------------------------------------------------
Not Applicable
Item 7. Identification and Classification of the Subsidiary Which Acquired
- ------ ------------------------------------------------------------------
the Security Being Reported on By the Parent Holding Company.
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Not Applicable
Item 8. Identification and Classification of Members of the Group.
- ------ ---------------------------------------------------------
Not Applicable
Item 9. Notice of Dissolution of Group.
- ------ ------------------------------
Not Applicable
Item 10. Certification.
- ------- -------------
Not Applicable
Page 4 of 5 Pages
<PAGE>
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CUSIP No. 637372 10 3
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SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I
certify that the information set forth in this statement is true, complete and
correct.
2/1/00
- ------------------------------------------
Date
/s/ Michael D. Hays
- ------------------------------------------
Signature
Michael D. Hays
- ------------------------------------------
Name
Page 5 of 5 Pages
