-----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, KHjSzzZYYpWsibvo+kKsXOldDDtpcW1MfPq+YjUrUZo3Po2dqpx8OiNUIqGoMNIn vnRXE0oB8Qc6/wE25gVKWQ== 0000779152-09-000008.txt : 20090910 0000779152-09-000008.hdr.sgml : 20090910 20090910152759 ACCESSION NUMBER: 0000779152-09-000008 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090909 FILED AS OF DATE: 20090910 DATE AS OF CHANGE: 20090910 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: 091062728 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 X0303 4 2009-09-09 0 0000779152 HENRY JACK & ASSOCIATES INC JKHY 0001362505 Forbis Mark S 663 HWY 60 MONETT MO 65708 0 1 0 0 VICE PRESIDENT & CTO Common Stock 2009-09-09 4 M 0 10000 10.84 A 25013 D Common Stock 2009-09-09 4 S 0 10000 23.9038 D 15013 D Common Stock 2009-09-10 4 D 0 266 24.01 D 14747 D Common Stock 2009-09-10 4 D 0 251 24.01 D 14496 D Common Stock 3482 I by 401(k) Non-Qualified Stock Option (right to buy) 10.84 2009-09-09 4 M 0 10000 23.9038 D 2013-04-11 Common Stock 10000 0 D All shares are fully vested and immediately exercisable. MARK S. FORBIS 2009-09-10 -----END PRIVACY-ENHANCED MESSAGE-----