-----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, Q9wm0oobJhNBRHrib/njBVB5LJRKtow44zFZFz1qwERDhusX/1id8o84IAeuUJWx DhoX7xwgDWh9LOOyuHiq2Q== 0001017951-03-000329.txt : 20031124 0001017951-03-000329.hdr.sgml : 20031124 20031124152229 ACCESSION NUMBER: 0001017951-03-000329 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031121 FILED AS OF DATE: 20031124 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: 031020595 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 2003-11-21 0 0001065332 NIC INC EGOV 0001039950 EVANS DANIEL J 1111 THIRD AVENUE, SUITE 3400 SEATTLE WA 98101 1 0 0 0 Common Stock 2003-11-21 4 M 0 10000 3.875 A 70514 D Common Stock 2003-11-21 4 S 0 10000 6.72 D 60514 D Stock Option (Right to Buy) 3.875 2003-11-21 4 M 0 10000 3.875 D 2001-02-06 2004-02-06 common stock 10000 0 D The Reporting Person also directly owns the following stock options to purchase NIC Inc. common stock: (i) 10,000 shares, exercisable at $2.10 per share, exercisable in four equal annual installments, beginning on June 25, 2002; (ii) 30,000 shares, exercisable at $1.67 per share, exercisable in two equal annual installments, beginning on July 23, 2003; and (iii) 50,000 shares, exercisable at $6.97 per share, exercisable in four equal annual installments, beginning on November 10, 2004. Daniel J. Evans 2003-11-24 -----END PRIVACY-ENHANCED MESSAGE-----