-----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, MPqeQIfW8Fwf/ZrS+o486Eaz6VV/tiqp/S9CJzwq2N5SDWa+zsLg4cR/HUwDp2gl qFyDUDBIyV5tzKnJW9XB1g== 0001017951-05-000049.txt : 20050131 0001017951-05-000049.hdr.sgml : 20050131 20050131121542 ACCESSION NUMBER: 0001017951-05-000049 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050128 FILED AS OF DATE: 20050131 DATE AS OF CHANGE: 20050131 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: BRADLEY WILLIAM F JR CENTRAL INDEX KEY: 0001180374 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26621 FILM NUMBER: 05560627 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 X0202 4 2005-01-28 0 0001065332 NIC INC EGOV 0001180374 BRADLEY WILLIAM F JR C/O NIC INC. 10540 SOUTH RIDGEVIEW ROAD OLATHE KS 66061 0 1 0 0 Exec.VP, Gen. Counsel & Sec. Common Stock 2005-01-28 4 J 0 174809 0 A 197978 D Distribution to the Reporting Person from the National Information Consortium Voting Trust. The Reporting Person also directly owns the following employee stock options to purchase NIC Inc. common stock: (i) 91,370 shares at $4.063, exercisable in four equal annual installments beginning on February 6, 2002; (ii) 10,000 shares at $2.10, exercisable in four equal annual installments, beginning on June 25, 2002; (iii) 50,000 shares at $1.67 per share, all of which are currently exercisable; and (iv) 75,000 shares at $3.04, exercisable in four equal annual installments, beginning on August 1, 2004. The Reporting Person also indirectly owns 1,573,283 shares of NIC Inc. common stock which are held directly by the National Information Consortium Voting Trust, for which Messrs. Jeffery S. Fraser and Ross C. Hartley act as trustees, for the benefit of the Reporting Person as a direct beneficiary of the Trust. Stephen M. Kovzan, Attorney-in-Fact 2005-01-31 -----END PRIVACY-ENHANCED MESSAGE-----