0001209191-14-008051.txt : 20140206 0001209191-14-008051.hdr.sgml : 20140206 20140206164507 ACCESSION NUMBER: 0001209191-14-008051 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140203 FILED AS OF DATE: 20140206 DATE AS OF CHANGE: 20140206 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 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: 14580705 MAIL ADDRESS: STREET 1: 5 CONCOURSE PARKWAY S 3200 CITY: ATLANTA STATE: GA ZIP: 30328 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2014-02-03 0 0000814549 EBIX INC EBIX 0001244876 RAINA ROBIN FIVE CONCOURSE PARKWAY SUITE 3200 ATLANTA GA 30328 1 1 0 0 Chairman and CEO Common Stock 2014-02-03 4 M 0 450000 1.7511 A 3454496 D Stock Option (right to buy) 1.7511 2014-02-03 4 M 0 450000 0.00 D 2014-04-02 Common Stock 450000 0 D Corrects an error in Mr. Raina current holdings from his prior Form 4's as a result of inadvertently including Mr. Raina's unexercised options in the total non-derivative securities beneficially owned by Mr. Raina. The options were granted on April 2, 2004 and became fully exercisable on December 31, 2005. /s/ Robin Raina 2014-02-06