-----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, Oq87W5e03IdMeuvPaKhkKEAvSdAt6F1GunElb08+lyLQi4KIKnNTfNjBVULUoH7O 2bh20ITlded2aBGimzZTEw== 0000779152-07-000027.txt : 20070911 0000779152-07-000027.hdr.sgml : 20070911 20070911135903 ACCESSION NUMBER: 0000779152-07-000027 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20000404 FILED AS OF DATE: 20070911 DATE AS OF CHANGE: 20070911 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Forbis Mark S CENTRAL INDEX KEY: 0001362505 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14112 FILM NUMBER: 071110737 BUSINESS ADDRESS: BUSINESS PHONE: 417-235-6652 MAIL ADDRESS: STREET 1: 663 HWY 60 STREET 2: PO BOX 807 CITY: MONETT STATE: MO ZIP: 65708 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HENRY JACK & ASSOCIATES INC CENTRAL INDEX KEY: 0000779152 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373] IRS NUMBER: 431128385 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: PO BOX 807 STREET 2: 663 HWY 60 CITY: MONETT STATE: MO ZIP: 65708-0807 BUSINESS PHONE: 4172356652 MAIL ADDRESS: STREET 1: PO BOX 807 STREET 2: 663 HWY 60 CITY: MONETT STATE: MO ZIP: 65708-0807 4 1 edgardoc.xml PRIMARY DOCUMENT X0202 4 2000-04-04 0 0000779152 HENRY JACK & ASSOCIATES INC JKHY 0001362505 Forbis Mark S 663 HWY 60 MONETT MO 65708 0 1 0 0 IMAGE DEPARTMENT MANAGER Common Stock 2007-09-10 4 A 0 6958 0 A 7908 D Common Stock 2007-06-30 5 A 0 240 0 A 3038 I by 401(k) Non-Qualified Stock Option (right to buy) 10.84 2003-04-11 4 A 0 10000 10.84 A 2013-04-11 Common Stock 10000 10000 D Non-Qualified Stock Option (right to buy) 16.875 2000-04-04 4 A 0 40000 16.875 A 2010-04-04 Common Stock 40000 40000 D Shares acquired through yearly allocations and through the Dividend Reinvestment Plan during the last year and subsequently purchased by the Company's Third Party Administrator at the then current price. All shares are fully vested and immediately exercisable. MARK S. FORBIS 2007-09-11 -----END PRIVACY-ENHANCED MESSAGE-----