-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, LvkzfaPoxxBVLNZBZkgHMziFHXtFcth8WHXpMoaSE5iwhdjP9anA3w0L2h/ddzbe rjLhpoCkV7ZUle7XghfyQg== 0001017951-03-000221.txt : 20030828 0001017951-03-000221.hdr.sgml : 20030828 20030828115939 ACCESSION NUMBER: 0001017951-03-000221 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030826 FILED AS OF DATE: 20030828 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NIC INC CENTRAL INDEX KEY: 0001065332 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MANAGEMENT CONSULTING SERVICES [8742] IRS NUMBER: 522077581 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 12 CORPORATE WOODS 10975 BENSON STREET STREET 2: SUITE 390 CITY: OVERLAND PARK STATE: KS ZIP: 66210 MAIL ADDRESS: STREET 1: 12 CORPORATE WOODS 10975 BENSON STREET STREET 2: SUITE 390 CITY: OVERLAND PARK STATE: KS ZIP: 66210 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: 03870180 BUSINESS ADDRESS: STREET 1: P.O. BOX 477 STREET 2: 7885 GRANITE RIDGE ROAD CITY: TETON VILLAGE STATE: WY ZIP: 83025 BUSINESS PHONE: 3077347305 MAIL ADDRESS: STREET 1: P O BOX 477 CITY: TENTON VILLAGE STATE: WY ZIP: 83025 4 1 primary_doc.xml PRIMARY DOCUMENT X0201 4 2003-08-26 0 0001065332 NIC INC EGOV 0001106138 HARTLEY ROSS C C/O NIC INC. 10540 SOUTH RIDGEVIEW ROAD OLATHE KS 66061 1 0 1 0 Common Stock 2003-08-26 4 P 0 20000 3.13 A 170000 D Common Stock 2003-08-27 4 P 0 30000 3.15 A 200000 D The Reporting Person also indirectly owns (i) 20,168,754 shares of NIC Inc. common stock, which are held directly by the National Information Consortium Voting Trust, which holds in the aggregate 27,474,644 shares, and indirectly by Mr. Hartley as one of the trustees of the trust, and (ii) 7,319,962 shares, which are held directly by the National Information Consortium Voting Trust, for which Mr. Hartley acts as one of the trustees, for his benefit as a direct beneficiary of the trust. The Reporting Person also directly owns an employee stock option to purchase 20,000 shares of NIC Inc. common stock at $1.67 per share. The option is exercisable in two equal annual installments, beginning on July 23, 2003. Ross C. Hartley 2003-08-27 -----END PRIVACY-ENHANCED MESSAGE-----