-----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, KVQupmAMUuYu5qz/sj5AbVASm3i4PP83D/fDYyYp1lqitxXVYJjlsFGooxKQP9Ca oRPem8Z3WNCiLgWA2/wVqA== 0001104659-03-023270.txt : 20031021 0001104659-03-023270.hdr.sgml : 20031021 20031021110025 ACCESSION NUMBER: 0001104659-03-023270 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031017 FILED AS OF DATE: 20031021 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CHISHOLM DOUGLAS C CENTRAL INDEX KEY: 0001244847 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-15946 FILM NUMBER: 03949081 MAIL ADDRESS: STREET 1: 5594 LE FEVRE DR CITY: SAN JOSE STATE: CA ZIP: 95118 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 2003-10-17 0 0000814549 EBIX COM INC EBIX 0001244847 CHISHOLM DOUGLAS C 1900 E. GOLF RD., SUITE 1050 SCHAUMBURG IL 60173 1 0 0 0 Common Stock 375 D Stock options 5.55 2003-10-17 5 A 0 E 1875 0 A 2013-10-17 Common Stock 1875 5975 D The option becomes exercisable in 25% increments as of the end of each calendar quarter following the date of grant. Daniel J. Barmore, by Power of Attorney 2003-10-17 -----END PRIVACY-ENHANCED MESSAGE-----