0001209191-21-067766.txt : 20211203
0001209191-21-067766.hdr.sgml : 20211203
20211203154012
ACCESSION NUMBER: 0001209191-21-067766
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211201
FILED AS OF DATE: 20211203
DATE AS OF CHANGE: 20211203
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: 211469836
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: 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
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-12-01
0
0000814549
EBIX INC
EBIX
0001305321
Bhalla Pavan
4415 BANCROFT VALLEY
JOHNS CREEK
GA
30022
1
0
0
0
Common Stock
79466
D
option to purchase common stock
30.40
2021-12-01
4
A
0
6000
0.00
A
2022-12-01
2025-12-01
Common Stock
6000
6000
D
option to purchase common stock
35.70
2021-12-17
2024-12-17
Common Stock
6000
6000
D
option to purchase common stock
41.60
2020-09-27
2023-09-27
Common Stock
6000
6000
D
option to purchase common stock
52.92
2020-06-11
2023-06-11
Common Stock
6000
6000
D
option to purchase common stock
42.56
2019-12-31
2023-12-31
Common Stock
6000
6000
D
option to purchase common stock
53.90
2018-06-30
2022-06-30
Common Stock
6000
6000
D
Total reflects the correction of a scrivener's error made in the reporting person's last filing and does not indicate a purchase of shares.
The stock options will become exercisable 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/ Pavan Bhalla
2021-12-03