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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 | |
BURTSCHER ART N C/O NIC INC. 10540 SOUTH RIDGEVIEW ROAD OLATHE, KS 66061 |
X |
Art N. Burtscher | 01/06/2006 | |
**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) | On January 5, 2006, the National Information Consortium Voting Trust ("Voting Trust"), for which Messrs. Jeffery S. Fraser and Ross C. Hartley act as trustees, sold 2,000,000 shares of NIC Inc. ("NIC") common stock. The Reporting Person has neither voting nor investment control over the NIC shares held by the Voting Trust, and did not participate in the decision to sell the shares. As a result of the sale, the Reporting Person now indirectly owns 102,881 shares of NIC common stock, which are held directly by the Voting Trust for the benefit of the Reporting Person as a direct beneficiary of the Voting Trust. |
(2) | The Reporting Person also directly owns 24,301 shares of NIC common stock and stock options to purchase 55,000 shares of NIC common stock at $4.15 per share, exercisable in four equal installments, beginning on November 5, 2005. |