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Broad Street Principal Investments, L.L.C., et al. · 4 · Ebix Inc · For 6/19/13

Filed On 6/21/13, 7:11pm ET   ·   Accession Number 950103-13-3852   ·   SEC File 0-15946

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  As Of                Filer                Filing    For/On/As Docs:Size              Issuer               Agent

 6/21/13  Broad Street Principal Invs, LLC  4          Other       1:10K  Ebix Inc                          Davis Polk &...LLP 01/FA
          Goldman Sachs & Co
          Goldman Sachs Group Inc
          Exchange Merger Corp.
          Exchange Parent Corp.

Statement of Change in Beneficial Ownership of Securities   —   Form 4
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 4           Statement of Change in Beneficial Ownership of      HTML      9K 
                          Securities -- edgar.xml/3.6                            


This document is an XML File that may be rendered in various formats:

Form 4  –  Plain Text  –  EDGAR System  –  SEC Website  –  XML Listing  –  Browser ± <?xml?>
 

 
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
X
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
GOLDMAN SACHS GROUP INC

(Last) (First) (Middle)
200 WEST STREET


(Street)
NEW YORK, NY 10282

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
EBIX INC [ EBIX ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
 Director  10% Owner
 Officer (give title below) X Other (specify below)
See footnotes (1) and (2)
3. Date of Earliest Transaction (Month/Day/Year)
6/19/13
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
 Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
1. Name and Address of Reporting Person*
GOLDMAN SACHS GROUP INC

(Last) (First) (Middle)
200 WEST STREET


(Street)
NEW YORK, NY 10282

(City) (State) (Zip)
1. Name and Address of Reporting Person*
GOLDMAN SACHS & CO

(Last) (First) (Middle)
200 WEST STREET


(Street)
NEW YORK, NY 10282

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Broad Street Principal Investments, L.L.C.

(Last) (First) (Middle)
200 WEST STREET


(Street)
NEW YORK, NY 10282

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Exchange Parent Corp.

(Last) (First) (Middle)
200 WEST STREET


(Street)
NEW YORK, NY 10282

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Exchange Merger Corp.

(Last) (First) (Middle)
200 WEST STREET


(Street)
NEW YORK, NY 10282

(City) (State) (Zip)
Explanation of Responses:
Remarks:
(1) This statement is being filed by The Goldman Sachs Group, Inc. ("GS Group"), Goldman, Sachs & Co. ("Goldman Sachs"), Broad Street Principal Investments, L.L.C. ("Broad Street"), Exchange Parent Corp. ("Parent") and Exchange Merger Corp. ("Merger Sub" and, collectively with the foregoing entities, the "Reporting Persons"). Goldman Sachs is a wholly-owned subsidiary of GS Group. Broad Street is a wholly-owned by subsidiary of GS Group. Parent is a wholly-owned subsidiary of Broad Street. Merger Sub is a wholly-owned subsidiary of Parent. (2) The Reporting Persons are filing this Form 4 voluntarily to indicate that effective as of June 19, 2013, they no longer may be deemed subject to the reporting requirements of Section 16 of the Securities Exchange Act of 1934, as amended, with respect to the Issuer.
 THE GOLDMAN SACHS GROUP, INC., /s/ Yvette Kosic, Attorney-in-fact 6/21/13
 GOLDMAN, SACHS & CO., /s/ Yvette Kosic, Attorney-in-fact 6/21/13
 BROAD STREET PRINCIPAL INVESTMENTS, L.L.C., /s/ Yvette Kosic, Attorney-in- Fact 6/21/13
 EXCHANGE PARENT CORP., /s/ Yvette Kosic, Attorney-in-fact 6/21/13
 EXCHANGE MERGER CORP., /s/ Yvette Kosic, Attorney-in-fact 6/21/13
 ** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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