-----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, WhFNEZd5Trsn4u3BK8vG61i0I47vGzhWT2/DpUZpa1YzOhyT2q6yLzZPooKLKqXO xUvwSzo5JkUDnaBR369gbw== 0001104659-03-022195.txt : 20031003 0001104659-03-022195.hdr.sgml : 20031003 20031003115826 ACCESSION NUMBER: 0001104659-03-022195 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030916 FILED AS OF DATE: 20031003 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RAINA ROBIN CENTRAL INDEX KEY: 0001244876 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-15946 FILM NUMBER: 03926938 MAIL ADDRESS: STREET 1: 5 CONCOURSE PARKWAY S 3200 CITY: ATLANTA STATE: GA ZIP: 30328 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: EBIX COM INC CENTRAL INDEX KEY: 0000814549 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373] IRS NUMBER: 770021975 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3501 ALGONQUIN RD STREET 2: STE 500 CITY: ROLLING MEADOWS STATE: IL ZIP: 60008 BUSINESS PHONE: 8475063100 MAIL ADDRESS: STREET 1: 3501 ALGONQUIN ROAD CITY: ROLLING MEADOWS STATE: IL ZIP: 60008 FORMER COMPANY: FORMER CONFORMED NAME: DELPHI INFORMATION SYSTEMS INC /DE/ DATE OF NAME CHANGE: 19920703 4 1 a4.xml 4 X0201 4 2003-09-16 0 0000814549 EBIX COM INC EBIX 0001244876 RAINA ROBIN 1900 E. GOLF ROAD, SUITE 1050 SCHAUMBURG IL 60173 1 1 0 0 President and CEO Common Stock 435 D Stock options 5.35 2003-09-16 5 A 0 E 110000 0 A 2013-09-16 Common Stock 110000 405001 D The 110,000 options become exercisable over the next four years, 27,500 exercisable on September 16, 2004, September 16, 2005, September 16, 2006, and September 16, 2007, unless accelerated vesting criteria is met. If ebix.com, Inc. reports a profit of $1.0 million or greater for the year ended December 31, 2003, 50% of the remaining unvested options of this grant will vest on the date the profit is reported. If ebix.com, Inc. reports a net proft greater than $2.0 million or greater for the year ended December 31, 2004, all remaining unvested options of this grant will vest on the date the profit is reported. Daniel J. Barmore, by power of attorney 2003-10-02 -----END PRIVACY-ENHANCED MESSAGE-----