0001209191-16-156426.txt : 20161222 0001209191-16-156426.hdr.sgml : 20161222 20161222120626 ACCESSION NUMBER: 0001209191-16-156426 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161219 FILED AS OF DATE: 20161222 DATE AS OF CHANGE: 20161222 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: 162065743 MAIL ADDRESS: STREET 1: AGERISTRASSE 24 CITY: ZUG STATE: V8 ZIP: CH-6300 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-12-19 0 0000814549 EBIX INC EBIX 0001349112 Benz Hans U SEEHOFSTRASSE 13 ZUG V8 CH-6314 SWITZERLAND 1 0 0 0 Common Stock 2016-12-19 4 M 0 6188 14.89 A 56127 D Common Stock 2016-12-19 4 F 0 1547 59.55 D 54580 D Common Stock 2016-12-22 4 S 0 4641 57.31 D 49939 D option to purchase Common Stock 14.89 2016-12-19 4 M 0 6188 0.00 D 2014-12-30 2018-12-30 Common Stock 6188 2812 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 become exercisable 1/4 on the first anniversary of 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 2016-12-22