Sec Form 4 Filing - DORSMAN PETER A @ NCR CORP - 2013-10-03

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
DORSMAN PETER A
2. Issuer Name and Ticker or Trading Symbol
NCR CORP [ NCR]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) X __ Other (specify below)
EVP Services and/Chief Quality Officer
(Last) (First) (Middle)
7 WORLD TRADE CENTER, 250 GREENWICH STREET, 35TH FLOOR
3. Date of Earliest Transaction (MM/DD/YY)
10/03/2013
(Street)
NEW YORK, NY10007
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 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 10/03/2013 M 40,135 ( 1 ) A $ 21.27 124,522 D
Common Stock 10/03/2013 M 13,017 ( 1 ) A $ 23.93 137,539 D
Common Stock 10/03/2013 M 43,853 ( 1 ) A $ 22.16 181,392 D
Common Stock 10/03/2013 S 97,005 ( 1 ) D $ 40.21 ( 2 ) 84,387 D
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 (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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
Employee Stock Option (Right to Buy) $ 21.27 10/03/2013 M 40,135 ( 3 ) 03/01/2017 Common Stock 40,135 $ 0 0 D
Employee Stock Option (Right to Buy) $ 23.93 10/03/2013 M 13,017 ( 4 ) 10/01/2017 Common Stock 13,017 $ 0 0 D
Employee Stock Option (Right to Buy) $ 22.16 10/03/2013 M 43,853 ( 5 ) 03/01/2018 Common Stock 43,853 $ 0 0 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
DORSMAN PETER A
7 WORLD TRADE CENTER
250 GREENWICH STREET, 35TH FLOOR
NEW YORK, NY10007
EVP Services and Chief Quality Officer
Signatures
Mary H. Fragola, Attorney-in-Fact for Peter A. Dorsman 10/07/2013
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The exercises and sale reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on August 2, 2013.
( 2 )Represents the sale of 97,005 shares in 261 transactions at prices ranging from $40.00 to $40.61 per share, resulting in a weighted average sale price of $40.21 per share. The reporting person undertakes to provide NCR Corporation ("NCR"), any security holder of NCR, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
( 3 )The grant representing a right to purchase a total of 40,135 shares, vested in four equal annual installments on March 1, 2008, March 1, 2009, March 10, 2010 and March 1, 2011.
( 4 )The grant representing a right to purchase a total of 13,017 shares, vested in four equal annual installments on October 1, 2008, October 1, 2009, October 1, 2010 and October 1, 2011.
( 5 )The grant representing a right to purchase a total of 43,853 shares, vested in four equal annual installments on March 1, 2009, March 1, 2010, March 1, 2011 and March 1, 2012.

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).

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