SEC 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
|Estimated average burden|
|hours per response:
1. Name and Address of Reporting Person*
|NORTH KANSAS CITY
2. Date of Event Requiring Statement
3. Issuer Name and Ticker or Trading Symbol
[ CERN ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
||Officer (give title below)
||Other (specify below)
5. If Amendment, Date of Original Filed
6. Individual or Joint/Group Filing (Check Applicable Line)
||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.
Amount of Securities Beneficially Owned (Instr.
||3. Ownership Form: Direct (D) or Indirect (I) (Instr.
||4. Nature of Indirect Beneficial Ownership (Instr.
Table II - Derivative Securities Beneficially Owned|
(e.g., puts, calls, warrants, options, convertible securities)
|1. Title of Derivative Security (Instr.
||2. Date Exercisable and Expiration Date
||3. Title and Amount of Securities Underlying Derivative Security (Instr.
||4. Conversion or Exercise Price of Derivative Security
||5. Ownership Form: Direct (D) or Indirect (I) (Instr.
||6. Nature of Indirect Beneficial Ownership (Instr.
||Amount or Number of Shares
|Explanation of Responses:|
||/s/ Shane M. Dawson, by Power of Attorney
||** Signature of Reporting Person
|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,
|** Intentional misstatements or omissions of facts constitute Federal Criminal Violations
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,
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.|
POWER OF ATTORNEY
The undersigned hereby appoints each of Michael Battaglioli, Randy Sims, Amy
Abrams, Shane Dawson, Patricia Davies and Chris Fryatt, signing singly, the
undersigned's true and lawful attorney-in-fact to:
(1) execute for and on behalf of the undersigned, in the undersigned's capacity
as an officer and/or director of Cerner Corporation (the "Company"), Forms 3, 4
and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934,
as amended, and the rules thereunder ("Act"), any Form 144 and any Schedules 13D
(2) do and perform any and all acts for an on behalf of the undersigned which
may be necessary or appropriate to obtain codes and passwords enabling the
undersigned to make electronic filings with the United States Securities and
Exchange Commission ("SEC") of reports required by Section 16(a) of the Act,
including completing, executing and filing any Form ID (Uniform Application for
Access Codes to File on EDGAR) and any other related agreement, certificate or
(3) do and perform any and all acts for and on behalf of the undersigned which
may be necessary or desirable to complete and execute any such Form 144, 3, 4 or
5, and any Scheduled 13D or 13G, to complete and execute any amendment or
amendments thereto, and to timely file such forms with the SEC and any stock
exchange or similar authority; and,
(4) do and perform any and all acts of any type whatsoever in connection with
the foregoing which, in the opinion of such attorney-in-fact, may be of benefit
to, in the best interest of, or legally required by, the undersigned, it being
understood that the documents executed by such attorney-in-fact on behalf of the
undersigned pursuant to this Power of Attorney shall be in such form and shall
contain such terms and conditions as such attorney-in-fact may approve in such
The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary, or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that such attorney-in-fact, or such
attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be
done by virtue of this Power of Attorney and the rights and powers herein
granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in
serving in such capacity at the request of the undersigned, are not assuming,
nor is the Company assuming, any of the undersigned's responsibility to comply
with Section 16 of the Securities Exchange Act of 1934.
This Power of Attorney shall replace all prior Power of Attorney forms and shall
remain in full force and effect until (i) the undersigned is no longer required
to file Forms 144, 3, 4 and 5 and any Scheduled 13D or 13G with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
or (ii) the aforenamed Messrs. Battaglioli, Sims, Dawson or Fryatt, or Mses.
Abrams or Davies are no longer employed by the Company or its subsidiaries, in
which case this Power of Attorney shall automatically terminate (but previous
actions shall remain valid) with respect to such attorney-in-fact immediately
upon his or her termination of employment, or (iii) this Power of Attorney is
earlier revoked by the undersigned in a signed writing delivered to the
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 3 day of Nov, 2020.
Signature: /s/ Elder Granger
Name: Elder Granger, M.D.