-----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, UxgPqjxav63nN+0lxx+oQl55SIn5A6fqp6lbensLMTGb2S9N8oBmEuey2ZB/1VQ8 Uo+PMhnE3AEep2la1a7BPw== 0001217211-05-000429.txt : 20051228 0001217211-05-000429.hdr.sgml : 20051228 20051228163835 ACCESSION NUMBER: 0001217211-05-000429 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051227 FILED AS OF DATE: 20051228 DATE AS OF CHANGE: 20051228 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BLOCH THOMAS M CENTRAL INDEX KEY: 0001207345 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06089 FILM NUMBER: 051289221 MAIL ADDRESS: STREET 1: 4400 MAIN ST CITY: KANSAS CITY STATE: MO ZIP: 64111 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: H&R BLOCK INC CENTRAL INDEX KEY: 0000012659 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PERSONAL SERVICES [7200] IRS NUMBER: 440607856 STATE OF INCORPORATION: MO FISCAL YEAR END: 0430 BUSINESS ADDRESS: STREET 1: 4400 MAIN ST CITY: KANSAS CITY STATE: MO ZIP: 64111 BUSINESS PHONE: 8167536900 MAIL ADDRESS: STREET 1: 4410 MAIN STREET CITY: KANSAS CITY STATE: MO ZIP: 64111 4 1 blo542.xml X0202 4 2005-12-27 0 0000012659 H&R BLOCK INC HRB 0001207345 BLOCH THOMAS M 4400 MAIN STREET KANSAS CITY MO 64111 1 0 0 0 Common Stock, without par value 2005-12-27 5 G 0 3000 0 D 103224.0000 D Common Stock, without par value 13000.0000 I By Edward Bloch Irrevocable Gift Trust Common Stock, without par value 13000.0000 I By Jason Bloch Irrevocable Gift Trust Common Stock, without par value 100000.0000 I By M&H Bloch Partners, LP Call Option to Purchase 16.1375 2002-06-30 2011-06-30 Common Stock, without par value 12000.00 12000.00 D Call Option to Purchase 23.0750 2003-06-30 2012-06-30 Common Stock, without par value 8000.00 8000.00 D Call Option to Purchase 21.6250 2004-06-30 2013-06-30 Common Stock, without par value 8000.00 8000.00 D Call Option to Purchase 23.8400 2004-06-30 2014-06-30 Common Stock, without par value 8000.00 8000.00 D Call Option to Purchase 29.1750 2005-06-30 2015-06-30 Common Stock, without par value 8000.00 8000.00 D The shares were held by the Thomas M. Bloch Family Trust, of which I am the beneficiary. By: Bret G. Wilson per Power of Attorney 2005-12-28 -----END PRIVACY-ENHANCED MESSAGE-----