-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, I8gdkovus1olldmK41umsABdBI449VMqa4G2p5IcgJPKPM0iCisvDQ9S65kkfqkl XO9T27XbDnNI25C7LMYuew== 0000950117-04-000650.txt : 20040212 0000950117-04-000650.hdr.sgml : 20040212 20040212125059 ACCESSION NUMBER: 0000950117-04-000650 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20040212 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: RENNES FOUNDATION CENTRAL INDEX KEY: 0001094515 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: AEWLESTRUSSE 38 STREET 2: VODUZ LIECHTREUSTEIN FL MAIL ADDRESS: STREET 1: S.W. PORTE 3 POST OFFICE BOX 3580 STREET 2: ZURICH SWITERLAND SUBJECT COMPANY: 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 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-38591 FILM NUMBER: 04589466 BUSINESS ADDRESS: STREET 1: 3501 ALGONQUIN RD STREET 2: STE 500 CITY: ROLLING MEADOWS STATE: IL ZIP: 60008 BUSINESS PHONE: 8475063100 MAIL ADDRESS: STREET 1: 3501 ALGONQUIN ROAD CITY: ROLLING MEADOWS STATE: IL ZIP: 60008 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 SC 13G/A 1 a37066.txt RENNES FONDATION ----------------------------- OMB APPROVAL ----------------------------- OMB Number: 3235-0145 ----------------------------- Expires: December 31, 2005 ----------------------------- Estimated average burden hours per response...11 ----------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 4)* Ebix, Inc. (Name of Issuer) Common Stock (Title of Class of Securities) 28715107 (CUSIP Number) December 31, 2003 (Date of Event Which Requires Filing of This Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [ ] Rule 13d-1(b) [x] Rule 13d-1(c) [ ] Rule 13d-1(d) * The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act, but shall be subject to all other provisions of the Act (however, see the Notes). - -------------------------- ------------------------ CUSIP No. 28715107 Page 2 of 2 Pages - -------------------------- ------------------------ - -------------------------------------------------------------------------------- 1 Names of Reporting Persons. I.R.S. Identification Nos. of above persons (entities only). Rennes Fondation - -------------------------------------------------------------------------------- 2 Check the Appropriate Box if a Member of a Group (a): [ ] (See Instructions) (b): [ ] - -------------------------------------------------------------------------------- 3 SEC Use Only - -------------------------------------------------------------------------------- 4 Citizenship or Place of Organization Principality of Liechtenstein - -------------------------------------------------------------------------------- 5 Sole Voting Power NUMBER OF SHARES 351,899 BENEFICIALLY --------------------------------------------------- OWNED BY 6 Shared Voting Power EACH REPORTING -0- PERSON --------------------------------------------------- WITH: 7 Sole Dispositive Power 351,899 --------------------------------------------------- 8 Shared Dispositive Power -0- - -------------------------------------------------------------------------------- 9 Aggregate Amount Beneficially Owned by Each Reporting Person 351,899 - -------------------------------------------------------------------------------- 10 Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) - -------------------------------------------------------------------------------- 11 Percent of Class Represented by Amount in Row (9) 15.36% - -------------------------------------------------------------------------------- 12 Type of Reporting Person (See Instructions) OO - --------------------------------------------------------------------------------
- -------------------------- ------------------------ CUSIP No. 28715107 Page 3 of 3 Pages - -------------------------- ------------------------ Item 1. (a) Name of Issuer: Ebix, Inc. (b) Address of Issuer's Principal Executive Offices: 1900 E. Golf Road, Suite 1050 Schaumburg, Illinois 60173 Item 2. (a) Name of Person Filing: Rennes Fondation (b) Address of Principal Business Office or if None, Residence: Aeulestrasse 38 FL-9490 Vaduz Principality of Liechtenstein (c) Citizenship: Principality of Liechtenstein (d) Title of Class of Securities: Common Stock (e) CUSIP Number: 28715107 Item 3. If this statement is filed pursuant to Rule 13d-1(b), or 13d-2(b) or (c), check whether the person filing is a: (a) [ ] Broker or dealer registered under Section 15 of the Act (15 U.S.C. 78o). (b) [ ] Bank as defined in Section 3(a) (6) of the Act (15 U.S.C. 78c). (c) [ ] Insurance company as defined in Section 3(a)(19) of the Act (15 U.S.C. 78c). (d) [ ] Investment company registered under Section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8). (e) [ ] An investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E). - -------------------------- ------------------------ CUSIP No. 28715107 Page 4 of 4 Pages - -------------------------- ------------------------ (f) [ ] An employee benefit plan or endowment fund in accordance with Rule 13d-1(b)(1)(ii)(F). (g) [ ] A parent holding company or control person in accordance with Rule 13d-1(b)(1)(ii)(G). (h) [ ] A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813). (i) [ ] A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3). (j) [ ] Group, in accordance with Rule 13d-1(b)(1)(ii)(J). Item 4. Ownership Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1. (a) Amount Beneficially Owned: 351,899 (b) Percent of Class: 15.36% (c) Number of shares as to which such person has: (i) Sole power to vote or to direct the vote: 351,899 (ii) Shared power to vote or to direct the vote: -0- (iii) Sole power to dispose or to direct the disposition of: 351,899 (iv) Shared power to dispose or to direct the disposition of: -0- - -------------------------- ------------------------ CUSIP No. 28715107 Page 5 of 5 Pages - -------------------------- ------------------------ Item 5. Ownership of Five Percent or Less of a Class If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following [ ]. Item 6. Ownership of More than Five Percent on Behalf of Another Person N/A Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company N/A Item 8. Identification and Classification of Members of the Group N/A Item 9. Notice of Dissolution of Group N/A Item. 10. Certification By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect. - -------------------------- ------------------------ CUSIP No. 28715107 Page 6 of 6 Pages - -------------------------- ------------------------ SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, the undersigned certifies that the information set forth in this statement is true, complete and correct. Dated: February 11, 2004. RENNES FONDATION /s/ Rolf Herter ------------------- Name: Rolf Herter Title: Director # 1670816_v1
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