0000779152-11-000005.txt : 20110914 0000779152-11-000005.hdr.sgml : 20110914 20110914160753 ACCESSION NUMBER: 0000779152-11-000005 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110910 FILED AS OF DATE: 20110914 DATE AS OF CHANGE: 20110914 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: 111090673 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 X0304 4 2011-09-10 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 2011-09-10 4 F 0 1548 27.99 D 15263 D Common Stock 4406 I by 401(k) MARK S. FORBIS 2011-09-14