-----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, HqE4edLZmmsQE2m/pjjT3hIa6OU8+gUVMhHnG//Tgrts497bLhZM9RumnqkyanwP YIRQRLMNJOCBxBoOntvDgA== 0001017951-03-000275.txt : 20031031 0001017951-03-000275.hdr.sgml : 20031031 20031031192412 ACCESSION NUMBER: 0001017951-03-000275 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031029 FILED AS OF DATE: 20031031 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: SOMERHALDER SAM CENTRAL INDEX KEY: 0001180369 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26621 FILM NUMBER: 03971218 BUSINESS ADDRESS: STREET 1: 12 CORPORATE WOODS STREET 2: 10975 BENSON STREET 390 CITY: OVERLAND PARK STATE: KS ZIP: 66210 BUSINESS PHONE: 8772343468 MAIL ADDRESS: STREET 1: 12 CORPORATE WOODS STREET 2: 10975 BENSON STREET 390 CITY: OVERLAND PARK STATE: MS ZIP: 66210 4 1 primary_doc.xml PRIMARY DOCUMENT X0201 4 2003-10-29 0 0001065332 NIC INC EGOV 0001180369 SOMERHALDER SAM C/O NIC INC. 10540 SOUTH RIDGEVIEW ROAD OLATHE KS 66061 0 1 0 0 Ex. VP - Operations & Admin. Common Stock 2003-10-29 4 J 0 56599 0 A 78327 D Distribution to Reporting Person ("Somerhalder") from the National Information Consortium Voting Trust ("Voting Trust"). Somerhalder also directly owns the following employee stock options to purchase NIC Inc. common stock:(i)100,000 shs at $4.063, exercisable in four equal annual installments beginning on February 6, 2002; however, the vesting date for the options exercisable in 2003 may be accelerated in the event of the Company's satisfaction of certain performance criteria for 2001;(ii)10,000 shs at $2.10, exercisable in four equal annual installments, beginning on June 25, 2002;(iii)50,000 shs at $1.67 per sh, exercisable in two equal annual installments, beginning on July 23, 2003;&(iv)50,000 shs at $3.04, exercisable in four equal annual installments, beginning on July 31, 2004. Somerhalder also indirectly owns 1,075,382 shs of NIC Inc. common stock which are held directly by the Voting Trust for his benefit as a direct beneficiary of the trust, and 1,500 shs of NIC Inc. common stock which are held directly by Somerhalder's spouse. Samuel R. Somerhalder 2003-10-30 -----END PRIVACY-ENHANCED MESSAGE-----