0000779152-22-000028.txt : 20220323 0000779152-22-000028.hdr.sgml : 20220323 20220323160418 ACCESSION NUMBER: 0000779152-22-000028 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220322 FILED AS OF DATE: 20220323 DATE AS OF CHANGE: 20220323 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Foss David B CENTRAL INDEX KEY: 0001610501 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14112 FILM NUMBER: 22763196 MAIL ADDRESS: STREET 1: PO BOX 807 STREET 2: 663 HWY 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 1 wf-form4_164806584419532.xml FORM 4 X0306 4 2022-03-22 0 0000779152 HENRY JACK & ASSOCIATES INC JKHY 0001610501 Foss David B 663 HWY 60 MONETT MO 65708 1 1 0 0 Board Chair & CEO Common Stock 2022-03-22 4 M 0 10000 87.27 A 107947 D Common Stock 2022-03-22 4 F 0 6753 187.81 D 101194 D Common Stock 2022-03-23 4 S 0 3247 188.0816 D 97947 D Common Stock 4704 I By 401(k) Non-Qualified Stock Option (right to buy) 87.27 2022-03-22 4 M 0 10000 0 D 2016-07-01 2026-07-01 Common Stock 10000.0 11685 D Shares held in the Jack Henry & Associates, Inc. 401(k) plan based on plan information as of December 31, 2021. Mary E. Stluka By Power of Attorney For David B. Foss 2022-03-23