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Ownership Document |
Schema Version: X0306 |
Document Type: 4 |
Period of Report: 6/19/13 |
Not Subject to Section 16: 1 |
Issuer: |
| Issuer CIK: 814549 |
| Issuer Name: EBIX INC |
| Issuer Trading Symbol: EBIX |
Reporting Owner: |
| Reporting Owner ID: |
| | Owner CIK: 886982 |
| | Owner Name: GOLDMAN SACHS GROUP INC |
| Reporting Owner Address: |
| | Owner Street 1: 200 WEST STREET |
| | Owner Street 2: |
| | Owner City: NEW YORK, |
| | Owner State: NY |
| | Owner ZIP Code: 10282 |
| | Owner State Description: |
| Reporting Owner Relationship: |
| | Is Director? No |
| | Is Officer? No |
| | Is Ten Percent Owner? No |
| | Is Other? Yes |
| | Other Text: See footnotes (1) and (2) |
Reporting Owner: |
| Reporting Owner ID: |
| | Owner CIK: 769993 |
| | Owner Name: GOLDMAN SACHS & CO |
| Reporting Owner Address: |
| | Owner Street 1: 200 WEST STREET |
| | Owner Street 2: |
| | Owner City: NEW YORK, |
| | Owner State: NY |
| | Owner ZIP Code: 10282 |
| | Owner State Description: |
| Reporting Owner Relationship: |
| | Is Director? No |
| | Is Officer? No |
| | Is Ten Percent Owner? No |
| | Is Other? Yes |
| | Other Text: See footnotes (1) and (2) |
Reporting Owner: |
| Reporting Owner ID: |
| | Owner CIK: 1575993 |
| | Owner Name: Broad Street Principal Investments, L.L.C. |
| Reporting Owner Address: |
| | Owner Street 1: 200 WEST STREET |
| | Owner Street 2: |
| | Owner City: NEW YORK, |
| | Owner State: NY |
| | Owner ZIP Code: 10282 |
| | Owner State Description: |
| Reporting Owner Relationship: |
| | Is Director? No |
| | Is Officer? No |
| | Is Ten Percent Owner? No |
| | Is Other? Yes |
| | Other Text: See footnotes (1) and (2) |
Reporting Owner: |
| Reporting Owner ID: |
| | Owner CIK: 1576361 |
| | Owner Name: Exchange Parent Corp. |
| Reporting Owner Address: |
| | Owner Street 1: 200 WEST STREET |
| | Owner Street 2: |
| | Owner City: NEW YORK, |
| | Owner State: NY |
| | Owner ZIP Code: 10282 |
| | Owner State Description: |
| Reporting Owner Relationship: |
| | Is Director? No |
| | Is Officer? No |
| | Is Ten Percent Owner? No |
| | Is Other? Yes |
| | Other Text: See footnotes (1) and (2) |
Reporting Owner: |
| Reporting Owner ID: |
| | Owner CIK: 1576309 |
| | Owner Name: Exchange Merger Corp. |
| Reporting Owner Address: |
| | Owner Street 1: 200 WEST STREET |
| | Owner Street 2: |
| | Owner City: NEW YORK, |
| | Owner State: NY |
| | Owner ZIP Code: 10282 |
| | Owner State Description: |
| Reporting Owner Relationship: |
| | Is Director? No |
| | Is Officer? No |
| | Is Ten Percent Owner? No |
| | Is Other? Yes |
| | Other Text: See footnotes (1) and (2) |
Footnotes: |
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. |
Owner Signature: |
| Signature Name: THE GOLDMAN SACHS GROUP, INC., /s/ Yvette Kosic, Attorney-in-fact |
| Signature Date: 6/21/13 |
Owner Signature: |
| Signature Name: GOLDMAN, SACHS & CO., /s/ Yvette Kosic, Attorney-in-fact |
| Signature Date: 6/21/13 |
Owner Signature: |
| Signature Name: BROAD STREET PRINCIPAL INVESTMENTS, L.L.C., /s/ Yvette Kosic, Attorney-in- Fact |
| Signature Date: 6/21/13 |
Owner Signature: |
| Signature Name: EXCHANGE PARENT CORP., /s/ Yvette Kosic, Attorney-in-fact |
| Signature Date: 6/21/13 |
Owner Signature: |
| Signature Name: EXCHANGE MERGER CORP., /s/ Yvette Kosic, Attorney-in-fact |
| Signature Date: 6/21/13 |