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