Statement of Changes in Beneficial Ownership (4)
September 22 2020 - 6:28PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0287
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Adelson Gregory R. |
2. Issuer Name and Ticker or Trading Symbol
HENRY JACK & ASSOCIATES INC
[
jkhy
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) Chief Operating Officer |
(Last)
(First)
(Middle)
PO BOX 807, 663 HWY 60 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
9/20/2020 |
(Street)
MONETT, MO 65708
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock | 9/20/2020 | | A | | 2078 | A | $0 | 10197 | D | |
Common Stock | 9/20/2020 | | F | | 952 | D | $161.83 | 9245 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. 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 | 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 of Derivative Security: 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 |
Vested Performance Shares | $0 | 9/20/2020 | | A | | 2076 | | (1) | (1) | Common Stock | 2076 | $0 | 3561 | D | |
Explanation of Responses: |
(1) | Each performance share is the economic equivalent of one share of JKHY common stock. The reporting person has elected to defer receipt of 2,076 shares of common stock underlying vested performance shares pursuant to the Issuer's Deferred Compensation Plan. These vested performance shares become payable, in cash or common stock of the Issuer, at the Issuer's option, upon the reporting person's termination of service with the Company pursuant to the reporting person's deferral elections. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Adelson Gregory R. PO BOX 807 663 HWY 60 MONETT, MO 65708 |
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| Chief Operating Officer |
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Signatures
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Mary E. Stluka, by Power of Attorney for Gregory R. Adelson | | 9/22/2020 |
**Signature of Reporting Person | Date |
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