0000899243-19-024488.txt : 20191001 0000899243-19-024488.hdr.sgml : 20191001 20191001184823 ACCESSION NUMBER: 0000899243-19-024488 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190927 FILED AS OF DATE: 20191001 DATE AS OF CHANGE: 20191001 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bhalla Pavan CENTRAL INDEX KEY: 0001305321 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-15946 FILM NUMBER: 191130448 MAIL ADDRESS: STREET 1: 1109 BRECKENRIDGE LANE CITY: ALPHARETTA STATE: GA ZIP: 30005 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-09-27 0 0000814549 EBIX INC EBIX 0001305321 Bhalla Pavan 4415 BANCROFT VALLEY JOHNS CREEK GA 30022 1 0 0 0 Common Stock 55466 D option to purchase common stock 41.60 2019-09-27 4 A 0 6000 0.00 A 2020-09-27 2023-09-27 Common Stock 6000 6000 D option to purchase common stock 52.92 2020-06-11 2023-06-11 Common Stock 6000 6000 D option to purchase common stock 42.56 2019-12-31 2023-12-31 Common Stock 6000 6000 D option to purchase common stock 49.22 2017-05-02 2021-05-02 Common Stock 6000 6000 D option to purchase common stock 53.90 2018-06-30 2022-06-30 Common Stock 6000 6000 D Stock Options will become exercisable 1/4 on the first anniversary of the date of grant with the remaining options vesting ratably on the first day of each quarter over the next three years. /s/ Pavan Bhalla 2019-10-01