0000779152-12-000055.txt : 20120910 0000779152-12-000055.hdr.sgml : 20120910 20120910174308 ACCESSION NUMBER: 0000779152-12-000055 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120910 FILED AS OF DATE: 20120910 DATE AS OF CHANGE: 20120910 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Forbis Mark S CENTRAL INDEX KEY: 0001362505 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14112 FILM NUMBER: 121083957 MAIL ADDRESS: STREET 1: 663 HWY 60 STREET 2: PO BOX 807 CITY: MONETT STATE: MO ZIP: 65708 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HENRY JACK & ASSOCIATES INC CENTRAL INDEX KEY: 0000779152 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373] IRS NUMBER: 431128385 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: PO BOX 807 STREET 2: 663 HWY 60 CITY: MONETT STATE: MO ZIP: 65708-0807 BUSINESS PHONE: 4172356652 MAIL ADDRESS: STREET 1: PO BOX 807 STREET 2: 663 HWY 60 CITY: MONETT STATE: MO ZIP: 65708-0807 4 1 edgardoc.xml PRIMARY DOCUMENT X0306 4 2012-09-10 0 0000779152 HENRY JACK & ASSOCIATES INC JKHY 0001362505 Forbis Mark S 663 HWY 60 MONETT MO 65708 0 1 0 0 VICE PRESIDENT & CTO Common Stock 2012-09-10 4 D 0 937 37.82 D 13351 D Common Stock 2012-09-10 4 D 0 280 37.82 D 13071 D Common Stock 2012-09-10 4 D 0 990 37.82 D 12081 D Common Stock 13050 I by 401(k) MARK S. FORBIS 2012-09-10