0001181431-12-055484.txt : 20121025
0001181431-12-055484.hdr.sgml : 20121025
20121025124822
ACCESSION NUMBER: 0001181431-12-055484
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121023
FILED AS OF DATE: 20121025
DATE AS OF CHANGE: 20121025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Bhalla Pavan
CENTRAL INDEX KEY: 0001305321
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-15946
FILM NUMBER: 121160844
MAIL ADDRESS:
STREET 1: 1109 BRECKENRIDGE LANE
CITY: ALPHARETTA
STATE: GA
ZIP: 30005
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: EBIX 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: FIVE CONCOURSE PARKWAY
STREET 2: SUITE 3200
CITY: ATLANTA
STATE: GA
ZIP: 30328
BUSINESS PHONE: 678-281-2020
MAIL ADDRESS:
STREET 1: FIVE CONCOURSE PARKWAY
STREET 2: SUITE 3200
CITY: ATLANTA
STATE: GA
ZIP: 30328
FORMER COMPANY:
FORMER CONFORMED NAME: EBIX COM INC
DATE OF NAME CHANGE: 19991115
FORMER COMPANY:
FORMER CONFORMED NAME: DELPHI INFORMATION SYSTEMS INC /DE/
DATE OF NAME CHANGE: 19920703
4
1
rrd358768.xml
FORM 4
X0306
4
2012-10-23
0
0000814549
EBIX INC
EBIX
0001305321
Bhalla Pavan
1109 BRECKENRIDGE LANE
ALPHARETTA
GA
30005
1
0
0
0
Common Stock
2012-10-23
4
M
0
18414
6.98
A
18414
D
Common Stock Options (right to buy)
6.98
2012-10-23
4
M
0
27000
0
A
2013-02-08
Common Stock
27000
105751
D
Of the 27,000 options exercised, Mr. Bhalla forfeited the conversion of 8,586 options into shares of common stock in order to cover the exercise price.
Common stock options became exercisable as follows: 9,000 options on February 8, 2009 and the remaining options vested ratably on the first date of each quarter over the remaining three years.
/s/ Pavan Bhalla
2012-10-25