SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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*
Devers Daniel

(Last) (First) (Middle)
2800 ROCKCREEK PARKWAY

(Street)
NORTH KANSAS CITY MO 64117

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
01/15/2021
3. Issuer Name and Ticker or Trading Symbol
CERNER Corp [ CERN ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
EVP & Chief Legal Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 177 I by 401(k) Plan
Common Stock 608 I by ASPP account
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Non-Qualified Stock Option (right to buy) 05/12/2017 05/12/2025 Common Stock 15,000 67.24 D
Non-Qualified Stock Option (right to buy) 05/10/2018 05/10/2026 Common Stock 5,000 55.24 D
Non-Qualified Stock Option (right to buy) 05/01/2019 05/01/2027 Common Stock 25,000 65.27 D
Non-Qualified Stock Option (right to buy) 05/04/2020 05/04/2028 Common Stock 17,198 57.24 D
Non-Qualified Stock Option (right to buy) 04/29/2020 04/29/2029 Common Stock 12,882 65.88 D
Restricted Stock Units 05/04/2021 05/04/2021 Common Stock 2,177 0.00 D
Restricted Stock Units 04/29/2020 04/29/2022 Common Stock 9,018 0.00 D
Restricted Stock Units 04/30/2021 04/28/2023 Common Stock 8,647 0.00 D
Explanation of Responses:
Remarks:
/s/ Shane M. Dawson, by Power of Attorney 01/21/2021
** 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 5 (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 Number.