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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
FRASER JEFFERY S C/O NIC INC. 25501 WEST VALLEY PARKWAY, SUITE 300 OLATHE, KS 66061 |
X | X |
Stephen M. Kovzan, Attorney in Fact for Jeffery S. Fraser | 02/13/2009 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | The original Form 4 is being amended to correct the reported amounts of Mr. Fraser's holdings. The amendment reduces Mr. Fraser's direct holdings by 226,058 shares and increases his indirect holdings by 226,051 shares. |
(2) | Restricted stock award which vests in four equal annual installments, beginning on May 6, 2009. |
(3) | The Reporting Person and Ross C. Hartley are co-trustees of the National Information Consortium Voting Trust ("Voting Trust") which holds 21,400,805 shares of NIC Inc. common stock, and as co-trustees they have voting and investment power with respect to the shares held by the Voting Trust. The Reporting Person disclaims beneficial ownership of the shares held of record by the Voting Trust, except to the extent of his pecuniary interest noted herein. The Reporting Person and his family members have in the aggregate a 25.3% pecuniary interest in the Voting Trust, represented by 1,020,866 shares held directly by the Voting Trust for the benefit of a trust, of which the Reporting Person is the beneficiary, and 4,391,140 shares held directly by the Voting Trust for the benefit of entities of which the Reporting Person acts as manager, except that the Reporting Person disclaims beneficial ownership over 1,848,396 of the shares held by one of these entities. |
(4) | Mr. Fraser is the manager of this limited liability company owned by other members of his family. He disclaims beneficial ownership of these shares. |