0000779152-21-000089.txt : 20211005 0000779152-21-000089.hdr.sgml : 20211005 20211005161420 ACCESSION NUMBER: 0000779152-21-000089 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211004 FILED AS OF DATE: 20211005 DATE AS OF CHANGE: 20211005 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Adelson Gregory R. CENTRAL INDEX KEY: 0001746071 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14112 FILM NUMBER: 211306774 MAIL ADDRESS: STREET 1: PO BOX 807 STREET 2: 663 HWY 60 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 wf-form4_163346484279281.xml FORM 4 X0306 4 2021-10-04 0 0000779152 HENRY JACK & ASSOCIATES INC JKHY 0001746071 Adelson Gregory R. 663 HWY 60 MONETT MO 65708 0 1 0 0 Chief Operating Officer Common Stock 2021-10-04 4 M 0 321 A 10493 D Common Stock 2021-10-04 4 F 0 143 165.01 D 10350 D Restricted Stock Units 2021-10-04 4 M 0 321 0 D Common Stock 321.0 320 D Each restricted stock unit is the economic equivalent of one share of JKHY common stock and represents a contingent right to receive one share of JKHY common stock or, at the Issuer's option, the cash value thereof. On October 4, 2019 the reporting person was granted restricted stock units, vesting in three equal annual installments on October 4, 2020, 2021 and 2022. Mary E. Stluka By Power of Attorney For Gregory R. Adelson 2021-10-05