0000779152-21-000132.txt : 20211217 0000779152-21-000132.hdr.sgml : 20211217 20211217104857 ACCESSION NUMBER: 0000779152-21-000132 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211120 FILED AS OF DATE: 20211217 DATE AS OF CHANGE: 20211217 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Miyashiro Shruti S CENTRAL INDEX KEY: 0001635586 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-14112 FILM NUMBER: 211500073 MAIL ADDRESS: STREET 1: PO BOX 807 STREET 2: 663 HIGHWAY 60 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/A 1 wf-form4a_163975612466913.xml FORM 4/A X0306 4/A 2021-11-20 2021-11-23 0 0000779152 HENRY JACK & ASSOCIATES INC JKHY 0001635586 Miyashiro Shruti S 663 HWY 60 MONETT MO 65708 1 0 0 0 Common Stock 2021-11-20 4 M 0 1022 A 8935 D Each restricted stock unit is the economic equivalent of one share of JKHY common stock and represents a contingent right to receive one share of JKHY common stock or, at the Issuer's option, the cash value thereof. Due to a clerical error, the reporting person's original Form 4 filed on November 23, 2021 set forth an incorrect number of common stock beneficially owned following the reported transaction in column 5 of Table I. The original form reported 8,678 shares of common stock beneficially owned. This Form 4/A is being filed solely to correct the error and presents the correct number of common stock beneficially owned by the reporting person following the reported transaction. A clerical error was made on the original Form 4 filed on November 23, 2021 with respect to the number of common stock beneficially owned following the reported transaction. This Form 4/A corrects that error. Mary E. Stluka By Power of Attorney For Shruti S Miyashiro 2021-12-17