-----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, Chgn1C7i8VPGmvpfDVnErq65vTZy2c9Eby2vFinQcabH/yFPpKKSa8pM+LagQSgA 3ZTbTGqEOeSYMb4nK0gY3Q== 0001017951-03-000299.txt : 20031113 0001017951-03-000299.hdr.sgml : 20031113 20031113171440 ACCESSION NUMBER: 0001017951-03-000299 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031110 FILED AS OF DATE: 20031113 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: EVANS DANIEL J CENTRAL INDEX KEY: 0001039950 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26621 FILM NUMBER: 03999134 BUSINESS ADDRESS: STREET 1: 5215 NE 45TH CITY: SEATTLE STATE: WA ZIP: 98105 BUSINESS PHONE: 2065224400 MAIL ADDRESS: STREET 1: 411 FIRST AVENUE SOUTH SUITE 600 CITY: SEATTLE STATE: WA ZIP: 98014 4 1 primary_doc.xml PRIMARY DOCUMENT X0201 4 2003-11-10 0 0001065332 NIC INC EGOV 0001039950 EVANS DANIEL J 1111 THIRD AVENUE, SUITE 3400 SEATTLE WA 98101 1 0 1 0 Stock Option (Right to Buy) 6.97 2003-11-10 4 A 0 50000 0 A 2008-11-10 common stock 50000 50000 D The option vests in four equal annual installments, beginning on November 10, 2004. The Reporting Person also directly owns 60,514 shares of NIC Inc. common stock and the following stock options to purchase NIC Inc. common stock: (i) 10,000 shares, exercisable at $3.875 per share, expiring on February 6, 2004; (ii) 10,000 shares, exercisable at $2.10 per share, exercisable in four equal annual installments, beginning on June 25, 2002; and (iii) 30,000 shares, exercisable at $1.67 per share, exercisable in two equal annual installments, beginning on July 23, 2003; Daniel J. Evans 2003-11-10 -----END PRIVACY-ENHANCED MESSAGE-----