-----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, S0cJNOq5e/lnjd+u8LH8g97znOppH/wZBH7RU9kkl3qMDU43rbUKgTWwc7PW5j9i XP4JrPwZTkfc8MhmysYejw== 0001017951-06-000034.txt : 20060124 0001017951-06-000034.hdr.sgml : 20060124 20060124154411 ACCESSION NUMBER: 0001017951-06-000034 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051108 FILED AS OF DATE: 20060124 DATE AS OF CHANGE: 20060124 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: 06546431 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 X0202 4 2005-11-08 0 0001065332 NIC INC EGOV 0001106138 HARTLEY ROSS C C/O NIC INC. 10540 SOUTH RIDGEVIEW ROAD OLATHE KS 66061 1 0 1 0 Stock Option (Right to Buy) 6.16 2005-11-08 4 M 0 10000 0 A 2006-11-08 2010-11-08 common stock 10000 10000 D The option is exercisable in four equal annual installments, beginning on November 8, 2006. The Reporting Person indirectly owns 21,480,805 shares of NIC Inc. common stock which are held directly by the National Information Consortium Voting Trust, for which the Reporting Person and Jeffery S. Fraser act as trustees. Of this amount, the Reporting Person indirectly owns 4,964,337 shares held directly by the Voting Trust for the benefit of the Reporting Person as a direct beneficiary of the Voting Trust, and 500,472 shares held directly by the Voting Trust for the benefit of the Reporting Person's minor children. The Reporting Person also directly owns 623,469 shares of NIC common stock and the following stock options to purchase shares of NIC common stock: (i) 20,000 shares at $6.97 per share, exercisable in four equal annual installments, beginning on November 10, 2004, and (ii) 25,000 shares at $4.15 per share, exercisable in four annual installments, beginning on November 5, 2005. Stephen M. Kovzan, Attorney-in-Fact 2006-01-24 -----END PRIVACY-ENHANCED MESSAGE-----