SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Dalton Travis

(Last) (First) (Middle)
2800 ROCK CREEK PARKWAY

(Street)
NORTH KANSAS CITY MO 64117

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
CERNER Corp [ CERN ]
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
3. Date of Earliest Transaction (Month/Day/Year)
04/29/2021
4. 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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 04/29/2021 M 4,509 A $0.00 8,509(1) D
Common Stock 04/29/2021 F 1,392(2) D $75.34 7,117(1) D
Common Stock 04/30/2021 M 4,804 A $0.00 11,921(1) D
Common Stock 04/30/2021 F 1,446(2) D $75.05 10,475(1) D
Common Stock 403 I by 401(k) Plan
Common Stock 432 I by ASPP account
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction 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 (Month/Day/Year) 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: 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 04/30/2021 M 4,804 04/30/2021 04/28/2023 Common Stock 4,804 $0.00 9,608 D
Restricted Stock Units $0.00 04/29/2021 M 4,509 04/29/2020 04/29/2022 Common Stock 4,509 $0.00 4,509 D
Non-Qualified Stock Option (right to buy) $55.24 05/10/2018 05/10/2026 Common Stock 4,000 4,000 D
Non-Qualified Stock Option (right to buy) $65.27 05/01/2019 05/01/2027 Common Stock 10,000 10,000 D
Non-Qualified Stock Option (right to buy) $57.24 05/04/2020 05/04/2028 Common Stock 14,547 14,547 D
Non-Qualified Stock Option (right to buy) $65.88 04/29/2020 04/29/2029 Common Stock 9,662 9,662 D
Restricted Stock Units $0.00 02/12/2022 02/12/2023 Common Stock 6,672 6,672 D
Restricted Stock Units $0.00 04/28/2023 04/28/2023 Common Stock 7,255 7,255 D
Explanation of Responses:
1. Includes 4,000 shares of restricted common stock.
2. Shares withheld to satisfy the tax withholdings for the vesting of restricted stock units.
Remarks:
/s/ Shane M. Dawson, by Power of Attorney 05/03/2021
** 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 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.
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