0001014108-16-000361.txt : 20160209 0001014108-16-000361.hdr.sgml : 20160209 20160209154711 ACCESSION NUMBER: 0001014108-16-000361 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160205 FILED AS OF DATE: 20160209 DATE AS OF CHANGE: 20160209 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NIC INC CENTRAL INDEX KEY: 0001065332 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 522077581 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 25501 W. VALLEY PARKWAY STREET 2: SUITE 300 CITY: OLATHE STATE: KS ZIP: 66061 BUSINESS PHONE: (913) 498-3468 MAIL ADDRESS: STREET 1: 25501 W. VALLEY PARKWAY STREET 2: SUITE 300 CITY: OLATHE STATE: KS ZIP: 66061 FORMER COMPANY: FORMER CONFORMED NAME: NATIONAL INFORMATION CONSORTIUM DATE OF NAME CHANGE: 19990618 FORMER COMPANY: FORMER CONFORMED NAME: NATIONAL INFORMATION CONSORTIUM INC DATE OF NAME CHANGE: 19990504 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KOVZAN STEPHEN M CENTRAL INDEX KEY: 0001180372 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26621 FILM NUMBER: 161399472 MAIL ADDRESS: STREET 1: 25501 WEST VALLEY PARKWAY STREET 2: SUITE 300 CITY: OLATHE STATE: KS ZIP: 66061 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2016-02-05 0 0001065332 NIC INC EGOV 0001180372 KOVZAN STEPHEN M 25501 WEST VALLEY PARKWAY SUITE 300 OLATHE KS 66061 0 1 0 0 Chief Financial Officer Common Stock 2016-02-05 4 D 0 3072 0 D 180798 D Common Stock 2016-02-05 4 J 0 1139 0 A 181937 D Common Stock 2016-02-05 4 F 0 6284 17.44 D 175653 D Forfeiture of shares related to the previously reported performance-based restricted stock award granted on February 5, 2013. Such award represented the maximum number of shares that could be earned at the end of a three-year performance period ending December 31, 2015. The actual number of shares earned was based on the Company's performance related to specified performance criteria over the performance period. Additional shares awarded to Reporting Person from stock dividends on earned performance-based restricted stock award granted on February 5, 2013. Represents shares surrendered to NIC Inc. by the Reporting Person to satisfy tax withholding obligations on vesting of restricted shares. /s/Aimi Daughtery, Attorney-in-Fact for Stephen M. Kovzan 2016-02-09