SC 13G 1 v175190_sc13g.htm Unassociated Document
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C.  20549

SCHEDULE 13G

Under the Securities Exchange Act of 1934
(Amendment No.      )*


National Research Corporation
(Name of Issuer)

Common Stock, $.001 par value
(Title of Class of Securities)

 
637372103
  
(CUSIP Number)

February 9, 2010
(Date of Event Which Requires Filing of this Statement)


Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
 
 
 
 
*           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 in 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

CUSIP No. 637372103
 
 
1
NAME OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
 
Karen S. Hays
2
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)                                                                                                                                      
(a)   o
(b)  o
Not Applicable
3
SEC USE ONLY
 
4
CITIZENSHIP OR PLACE OF ORGANIZATION
 
United States
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
5
SOLE VOTING POWER
 
1,250,000
6
SHARED VOTING POWER
 
0
7
SOLE DISPOSITIVE POWER
 
1,250,000
8
SHARED DISPOSITIVE POWER
 
0
9
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
 
1,250,000
10
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) 
o
Not Applicable
11
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
 
18.8%
12
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
 
IN
 

 
Page 2 of 5 Pages
 
CUSIP No. 637372103
 
Item 1(a).
Name of Issuer:
 
National Research Corporation
 
Item 1(b).
Address of Issuer’s Principal Executive Offices:
 
1245 “Q” Street
Lincoln Nebraska 68508
 
Item 2(a).
Name of Person Filing:
 
Karen S. Hays
 
Item 2(b).
Address of Principal Business Office or, if none, Residence:
 
1245 “Q” 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:
 
637372103
 
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:
 
N/A
 
Page 3 of 5 Pages
 
CUSIP No. 637372103
 
Item 4.
Ownership
 
(a)
Amount Beneficially Owned:  1,250,000
 
(b)
Percent of Class:  18.8%
 
(c)
Number of shares as to which such person has:
 
(i)
sole power to vote or to direct the vote:  1,250,000
 
 
(ii)
shared power to vote or to direct the vote:  0
 
 
(iii)
sole power to dispose or to direct the disposition of:  1,250,000
 
 
(iv)
shared power to dispose or to direct the disposition of:  0
 
Item 5.
Ownership of Five Percent or Less of a Class.
 
N/A
 
Item 6.
Ownership of More than Five Percent on Behalf of Another Person.
 
N/A
 
Item 7.
Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company.
 
N/A
 
Item 8.
Identification and Classification of Members of the Group.
 
N/A
 
Item 9.
Notice of Dissolution of Group.
 
N/A
 
Item 10
Certification.
 
By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.
 
Page 4 of 5 Pages
 
 
CUSIP No. 637372103
 
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.
 

                      

Date: February 19, 2010    
       
 
 
 /s/ Karen S. Hays  
    Karen S. Hays  

 
Page 5 of 5 Pages