0001209191-15-046442.txt : 20150526
0001209191-15-046442.hdr.sgml : 20150525
20150526124904
ACCESSION NUMBER: 0001209191-15-046442
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20150522
FILED AS OF DATE: 20150526
DATE AS OF CHANGE: 20150526
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: RENNES FONDATION
CENTRAL INDEX KEY: 0001094515
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-15946
FILM NUMBER: 15888669
BUSINESS ADDRESS:
STREET 1: RATIKONSTRASSE 13
STREET 2: VADUZ
CITY: PRINCIPALITY OF LIECHTENSTEIN
STATE: N2
ZIP: FL-9490
BUSINESS PHONE: 41 44 208 25 25
MAIL ADDRESS:
STREET 1: RATIKONSTRASSE 13
STREET 2: VADUZ
CITY: PRINCIPALITY OF LIECHTENSTEIN
STATE: N2
ZIP: FL-9490
FORMER NAME:
FORMER CONFORMED NAME: RENNES FOUNDATION
DATE OF NAME CHANGE: 19990907
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2015-05-22
0
0000814549
EBIX INC
EBIX
0001094515
RENNES FONDATION
R?TIKONSTRASSE 13
VADUZ
N2
FL-9490
LIECHTENSTEIN
0
0
1
0
Common Stock
2015-05-22
4
P
0
14400
37.3476
A
3746473
D
Call Option (right to buy)
20.00
2015-05-11
2016-01-15
common stock
10000
100
D
Call Option (right to buy)
25.00
2015-05-13
2016-01-15
common stock
10000
100
D
/s/ Susan V. Sidwell, Attorney-in-Fact for Rennes Fondation
2015-05-26
EX-24.4_585055
2
poa.txt
POA DOCUMENT
LIMITED POWER OF ATTORNEY FOR
SECTION 16 REPORTING OBLIGATIONS
POWER OF ATTORNEY
Know all by these presents, that the undersigned hereby constitutes and appoints
each of Darren Joseph, Jonathan Stanley and Susan V. Sidwell signing singly, the
undersigned's true and lawful attorney-in-fact to:
(1) execute for and on behalf of the undersigned, in the undersigned's capacity
as a ten percent shareholder of EBIX, INC. (the "Company"), Forms 3, 4, and 5
in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the
rules thereunder;
(2) do and perform any and all acts for and on behalf of the undersigned which
may be necessary or desirable to complete and execute any such Form 3, 4, or 5,
complete and execute any amendment or amendments thereto, and timely file such
form with the United States Securities and Exchange Commission and any stock
exchange or similar authority;
(3) execute for and on behalf of the undersigned a Form ID and any subsequent
filings, submissions or correspondence relating thereto; and
(4) take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of such attorney-in-fact, may be of benefit to,
in the best interest of, or legally required by, the undersigned, it being
understood that the documents executed by such attorney-in-fact on behalf of the
undersigned pursuant to this Power of Attorney shall be in such form and shall
contain such terms and conditions as such attorney-in-fact may approve in such
attorney-in-fact's discretion.
The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary, or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that such attorney-in-fact, or such
attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be
done by virtue of this power of attorney and the rights and powers herein
granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in
serving in such capacity at the request of the undersigned, are not assuming,
nor is the Company assuming, any of the undersigned's responsibilities to comply
with Section 16 of the Securities Exchange Act of 1934.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4, and 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless earlier revoked by the undersigned in a signed writing delivered to the
foregoing attorneys-in-fact. This Power of Attorney replaces and revokes any
and all prior powers of attorney granted by the undersigned, in the
undersigned's capacity as a ten percent shareholder of the Company, relating to
Section 16 of the Securities Exchange Act of 1934.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 31st day of March, 2015.
Rennes Fondation
/s/ Rolf Herter
By: Rolf Herter, Director