-----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, PjEBCX0/VVAhqfHRCLcnndWdPfFpL8OGignWw7t2i6WPWp8rlhRsa8CLvvvSSt1x tWejFLIXOzRQ3y0o36Zqsw== 0001017951-03-000291.txt : 20031112 0001017951-03-000291.hdr.sgml : 20031111 20031112114654 ACCESSION NUMBER: 0001017951-03-000291 CONFORMED SUBMISSION TYPE: SC 13D/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20031112 GROUP MEMBERS: JEFFERY S. FRASER GROUP MEMBERS: ROSS C. HARTLEY SUBJECT COMPANY: 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 FILING VALUES: FORM TYPE: SC 13D/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-57857 FILM NUMBER: 03991964 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 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: NATIONAL INFORMATION CONSORTIUM VOTING TRUST CENTRAL INDEX KEY: 0001106136 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: SC 13D/A BUSINESS ADDRESS: STREET 1: 12 CORPORATE WOODS STREET 2: 10975 BENSON STREET, SUITE 390 CITY: OVERLAND PARK STATE: KS ZIP: 66210 BUSINESS PHONE: 7852965059 SC 13D/A 1 s13da1.txt AMENDMENT NO. 1 TO SCHEDULE 13D UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13D Amendment No. 1 Under the Securities Exchange Act of 1934 NIC Inc. -------- (Name of Issuer) Common Stock, no par value -------------------------- (Title of Class of Securities) 62914B 10 0 ----------- (CUSIP Number) Jeffery S. Fraser c/o National Information Consortium Voting Trust 10540 South Ridgeview Road Olathe, KS 66061 (307) 734-7140 ---------------- (Name, Address and Telephone number of Person Authorized to Receive Notices and Communications) October 29, 2003 ---------------- (Date of Event which Requires Filing of this Statement) If the filing person has previously filed a statement on Schedule 13G to report the acquisition that is the subject of this Schedule 13D, and is filing this schedule because of Subsections 240.13d-1(e), 240.13f-1(f) or 240.13d-1(g), check the following box: [ ] NOTE: Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. See ss.240.13d-7(b) for other parties to whom copies are to be sent. *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page. The information required in the remainder of this cover page (except any items to which the form provides a cross-reference) shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). CUSIP NO. 636491102 1. Name of Reporting Person: National Information Consortium Voting Trust SS or IRS Identification No. of Above Person: IRS No. 48-6357369 2. Check the Appropriate Box if a Member of a Group: (a) (b) X - Joint Filing 3. SEC Use Only 4. Source of Funds N/A 5. Check if Disclosure of Legal Proceedings is Required Pursuant to Items 2(d) or 2(e): N/A 6. Citizenship or Place of Organization: Delaware Number of Shares Beneficially Owned by each Reporting Persons with 7. Sole Voting Power -0- 8. Shared Voting Power 26,100,894 9. Sole Dispositive Power -0- 10. Shared Dispositive Power 26,100,894 11. Aggregate Amount Beneficially Owned by Each Reporting Person: 26,100,894 12. Check if the Aggregate Amount in Row (11) Excludes Certain Shares: N/A 13. Percent of Class Represented by Amount in Row (11): 44.7% 14. Type of Reporting Person: 00 -2- CUSIP NO. 636491102 1. Name of Reporting Person: Jeffery S. Fraser SS or IRS Identification No. of Above Person: IRS No. ___________ 2. Check the Appropriate Box if a Member of a Group: (a) (b) X - Joint Filing 3. SEC Use Only 4. Source of Funds PF 5. Check if Disclosure of Legal Proceedings is Required Pursuant to Items 2(d) or 2(e): N/A 6. Citizenship or Place of Organization: USA Number of Shares Beneficially Owned by each Reporting Persons with 7. Sole Voting Power 515,180 8. Shared Voting Power 26,100,894 9. Sole Dispositive Power 515,180 10. Shared Dispositive Power 26,100,894 11. Aggregate Amount Beneficially Owned by Each Reporting Person: 26,100,894 12. Check if the Aggregate Amount in Row (11) Excludes Certain Shares: N/A 13. Percent of Class Represented by Amount in Row (11): 44.7% 14. Type of Reporting Person: IN -3- CUSIP NO. 636491102 1. Name of Reporting Person: Ross C. Hartley SS or IRS Identification No. of Above Person: IRS No. ___________ 2. Check the Appropriate Box if a Member of a Group: (a) (b) X - Joint Filing 3. SEC Use Only 4. Source of Funds PF 5. Check if Disclosure of Legal Proceedings is Required Pursuant to Items 2(d) or 2(e): N/A 6. Citizenship or Place of Organization: USA Number of Shares Beneficially Owned by each Reporting Persons with 7. Sole Voting Power 365,987 8. Shared Voting Power 26,100,894 9. Sole Dispositive Power 365,987 10. Shared Dispositive Power 26,100,894 11. Aggregate Amount Beneficially Owned by Each Reporting Person: 26,100,894 12. Check if the Aggregate Amount in Row (11) Excludes Certain Shares: N/A 13. Percent of Class Represented by Amount in Row (11): 44.7% 14. Type of Reporting Person: IN -4- The purpose of the distribution was to facilitate estate planning and charitable giving by the members. Item 5. Interest in Securities of the Issuer: See Item 11 of Cover Pages Number of Shares as to which such person has: (i) Sole power to vote or to direct the vote: See Item 7 of Cover Pages (ii) Shared power to vote or direct the vote: See Item 8 of Cover Pages (iii) Sole power to dispose or to direct the disposition of: See Item 9 of Cover Pages (iv) Shared power to dispose or to direct the disposition of: See Item 10 of Cover Pages Mr. Fraser has made the following transactions within the past 60 days or since the most recent filing of a Schedule 13D: On July 1, 2003, Mr. Fraser transferred his units in the Voting Trust to two entities for estate planning purposes. Mr. Fraser is sole manager of both entities; however, Mr. Fraser disclaims beneficial ownership over 50% of the Voting Trust units held by one of the entities. Mr. Hartley has made the following transactions within the past 60 days or since the most recent filing of a Schedule 13D:

No person other than the persons listed is known to have the right to receive or the power to direct the receipt of dividends from, or the proceeds from the sale of, any securities owned by any member of the group. Item 6. Contracts, Arrangements, Understandings or Relationships with Respect to Securities of the Issuer: None. -6- Item 7. Material to be Filed as Exhibits: None. NATIONAL INFORMATION CONSORTIUM VOTING TRUST Dated: November 10, 2003 By: /s/ JEFFERY S. FRASER --------------------------------- Jeffery S. Fraser, Trustee By: /s/ JEFFERY S. FRASER --------------------------------- Dated: November 10, 2003 Jeffery S. Fraser By: /s/ ROSS C. HARTLEY --------------------------------- Dated: November 10, 2003 Ross C. Hartley -7- EXHIBIT 1 to AMENDMENT NO. 1 TO SCHEDULE 13D JOINT FILING STATEMENT PURSUANT TO RULE 13d-1(k)(1) The undersigned acknowledge and agree that the foregoing statement on Schedule 13D is filed on behalf of each of the undersigned and that all subsequent amendments to this statement on Schedule 13D shall be filed on behalf of each of the undersigned without the necessity of filing additional joint statements. The undersigned acknowledge that each shall be responsible for the timely filing of such amendments, and for the completeness and accuracy of the information concerning him or it contained herein, but shall not be responsible for the completeness and accuracy of the information concerning the other entities or persons, except to the extent that he or it knows or has reason to believe that such information is accurate. NATIONAL INFORMATION CONSORTIUM VOTING TRUST Dated: November 10, 2003 By: /s/ JEFFERY S. FRASER --------------------------------- Jeffery S. Fraser, Trustee By: /s/ JEFFERY S. FRASER --------------------------------- Dated: November 10, 2003 Jeffery S. Fraser By: /s/ ROSS C. HARTLEY --------------------------------- Dated: November 10, 2003 Ross C. Hartley -----END PRIVACY-ENHANCED MESSAGE-----