0001209191-16-152134.txt : 20161128
0001209191-16-152134.hdr.sgml : 20161128
20161128132754
ACCESSION NUMBER: 0001209191-16-152134
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161125
FILED AS OF DATE: 20161128
DATE AS OF CHANGE: 20161128
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: 1 EBIX WAY
CITY: JOHNS CREEK
STATE: GA
ZIP: 30097
BUSINESS PHONE: 678-281-2020
MAIL ADDRESS:
STREET 1: 1 EBIX WAY
CITY: JOHNS CREEK
STATE: GA
ZIP: 30097
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: Benz Hans U
CENTRAL INDEX KEY: 0001349112
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-15946
FILM NUMBER: 162019323
MAIL ADDRESS:
STREET 1: AGERISTRASSE 24
CITY: ZUG
STATE: V8
ZIP: CH-6300
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-11-25
0
0000814549
EBIX INC
EBIX
0001349112
Benz Hans U
SEEHOFSTRASSE 13
ZUG
V8
CH-6314
SWITZERLAND
1
0
0
0
Common Stock
2016-11-25
4
M
0
9000
16.94
A
58939
D
Common Stock
2016-11-25
4
F
0
2451
62.20
D
56488
D
option to purchase Common Stock
16.94
2016-11-25
4
M
0
9000
0.00
D
2013-12-18
2016-12-18
Common Stock
9000
0
D
option to purchase Common Stock
14.89
2014-12-30
2018-12-30
Common Stock
9000
9000
D
option to purchase Common Stock
21.19
2016-01-12
2020-01-12
Common Stock
6000
6000
D
option to purchase Common Stock
49.22
2017-05-02
2021-05-02
Common Stock
6000
6000
D
Stock Options will become exercisable as follows: 1/4 on the first anniversary of the date of grant with the remaining options vesting ratably on
the first day of each quarter over the next three years.
/s/ Hans U. Benz
2016-11-28