0001014108-17-000080.txt : 20170503 0001014108-17-000080.hdr.sgml : 20170503 20170503180620 ACCESSION NUMBER: 0001014108-17-000080 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170502 FILED AS OF DATE: 20170503 DATE AS OF CHANGE: 20170503 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: HARTLEY ROSS C CENTRAL INDEX KEY: 0001106138 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26621 FILM NUMBER: 17810921 MAIL ADDRESS: STREET 1: P O BOX 477 CITY: TENTON VILLAGE STATE: WY ZIP: 83025 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2017-05-02 0 0001065332 NIC INC EGOV 0001106138 HARTLEY ROSS C C/O NIC INC. 25501 WEST VALLEY PARKWAY, SUITE 300 OLATHE KS 66061 1 0 0 0 Common Stock 2017-05-02 4 A 0 4683 0 A 64531 D Common Stock 1021416 I See Restricted stock award which will vest on May 1, 2018. The total holdings have been adjusted by 11,658 shares which were inadvertently reported as owned by the revocable trust. Shares held by Ross C. Hartley Family Investments, LLC, in which the Reporting Person's spouse holds a majority of the voting interest. /s/William A. Van Asselt, Attorney-in-Fact for Ross C. Hartley 2017-05-03