Sec Form 4 Filing - Foss David B @ HENRY JACK & ASSOCIATES INC - 2022-08-03

Insider filing report for Changes in Beneficial Ownership
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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
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Foss David B
2. Issuer Name and Ticker or Trading Symbol
HENRY JACK & ASSOCIATES INC [ JKHY]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Board Chair & CEO
(Last) (First) (Middle)
663 HWY 60
3. Date of Earliest Transaction (MM/DD/YY)
08/03/2022
(Street)
MONETT, MO65708
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 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
Common Stock 08/03/2022 M 4,861 A 102,808 D
Common Stock 08/03/2022 F 1,913 D $ 205.59 100,895 D
Common Stock 08/04/2022 M 5,185 A 106,080 D
Common Stock 08/04/2022 F 2,041 D $ 208.09 104,039 D
Common Stock 4,740( 2 ) I By 401(k)
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 (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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
Restricted Stock Units ( 1 ) 08/03/2022 M 4,861 ( 3 ) ( 3 ) Common Stock 4,861 $ 0 4,860 D
Restricted Stock Units ( 1 ) 08/04/2022 M 5,185 ( 4 ) ( 4 ) Common Stock 5,185 $ 0 10,369 D
Restricted Stock Units ( 1 ) 08/04/2022 A 14,417 ( 5 ) ( 5 ) Common Stock 14,417 $ 0 14,417 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Foss David B
663 HWY 60
MONETT, MO65708
X Board Chair & CEO
Signatures
Mary E. Stluka By Power of Attorney For David B. Foss 08/05/2022
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Each restricted stock unit is the economic equivalent of one share of JKHY common stock and represents a contingent right to receive one share of JKHY common stock or, at the Issuer's option, the cash value thereof.
( 2 )Shares held in the Jack Henry & Associates, Inc. 401(k) plan based on a plan statement dated as of June 30, 2022.
( 3 )On August 3, 2020 the reporting person was granted restricted stock units, vesting in three equal annual installments on August 3, 2021, 2022 and 2023.
( 4 )On August 4, 2021 the reporting person was granted restricted stock units, vesting in three equal annual installments on August 4, 2022, 2023 and 2024.
( 5 )On August 4, 2022 the reporting person was granted restricted stock units, vesting in three equal annual installments on August 4, 2023, 2024 and 2025.

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).

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