-----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, HhTMtUx9Pu5CDgrmVSbRbtU0b4ukq/adS6gpLRZvbVVK3jcMwJMfjrWfUQFppd/z zmAU6WNKLokNd3Jf/fQekg== 0001181431-05-059172.txt : 20051102 0001181431-05-059172.hdr.sgml : 20051102 20051102165934 ACCESSION NUMBER: 0001181431-05-059172 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051031 FILED AS OF DATE: 20051102 DATE AS OF CHANGE: 20051102 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: JACKSON HEWITT TAX SERVICE INC CENTRAL INDEX KEY: 0001283552 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PERSONAL SERVICES [7200] IRS NUMBER: 200778892 STATE OF INCORPORATION: DE FISCAL YEAR END: 0430 BUSINESS ADDRESS: STREET 1: 7 SYLVAN WAY CITY: PARSIPPANY STATE: NJ ZIP: 07054 BUSINESS PHONE: 9734961040 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bridgeman Ulysses L Jr CENTRAL INDEX KEY: 0001294724 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32215 FILM NUMBER: 051173942 BUSINESS ADDRESS: BUSINESS PHONE: 973-496-1040 MAIL ADDRESS: STREET 1: 7 SYLVAN WAY CITY: PARSIPPANY STATE: NJ ZIP: 07054 4 1 rrd95935.xml X0202 4 2005-10-31 0 0001283552 JACKSON HEWITT TAX SERVICE INC JTX 0001294724 Bridgeman Ulysses L Jr 3 SYLVAN WAY PARSIPPANY NJ 07054 1 0 0 0 Restricted Stock Unit 2005-10-31 4 A 0 384.61 0 A Common Stock 384.61 5093.77 D n/a Restriced Stock Units are granted under the Jackson Hewitt Tax Service Inc. 2004 Equity and Incentive Plan. Each Restricted Stock Unit is payable in one share of Jackson Hewitt Tax Service Inc. common stock within 60 days immediately following the date upon which the holder's services as a member of the Board of Directors of Jackson Hewitt Tax Service Inc. terminates for any reason. /s/ Steven L. Barnett, Attorney-in-fact for Ulysses L. Bridgeman, Jr. 2005-11-02 -----END PRIVACY-ENHANCED MESSAGE-----