UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549

 

FORM 8-K/A

 

CURRENT REPORT
Pursuant to Section 13 OR 15(d) of the Securities Exchange Act of 1934

 

Date of Report (Date of earliest event reported):  February 23, 2004

 

Ebix, Inc.

(Exact name of registrant as specified in its charter)

 

Delaware

 

0-15946

 

77-0021975

(State or other jurisdiction
of incorporation)

 

(Commission
File Number)

 

(IRS Employer
Identification No.)

 

 

 

 

 

1900 East Golf Road, Schaumburg, Illinois

 

60173

 

(Address of principal executive offices)

 

(Zip Code)

 

 

 

Registrant’s telephone number, including area code (847) 789-3047

 

 

(Former name or former address, if changed since last report)

 

 



 

Explanatory Note

 

On February 23, 2004, Ebix, Inc. (the “Company”) filed a current report on Form 8-K (the “Original Filing”) in connection with the completion of its acquisition of LifeLink Corporation (“LifeLink”).  The Company is amending the Original Filing to include the appropriate financial statements and pro forma financial information required by Items 7(a) and 7(b).

 

Item 7.           Financial Statements, Pro Forma Financial Information and Exhibits.

 

(a)                                  Financial Statements of Business Acquired.

 

The appropriate financial statements of LifeLink are filed herewith as Annex A.

 

(b)                                 Pro Forma Financial Information.

 

The appropriate unaudited pro forma financial information of the Company is filed herewith as Annex B.

 

(c)                                  Exhibits.

 

Exhibit No.

 

Exhibit

 

 

 

2.1

 

Stock Purchase Agreement, dated February 23, 2004, by and among Ebix, Inc. and the shareholders of LifeLink Corporation (previously filed with the SEC on February 23, 2004 as Exhibit 2.1 to this current report on Form 8-K) *

2.2

 

Secured Promissory Note, dated February 23, 2004, issued by Ebix, Inc. (previously filed with the SEC on February 23, 2004 as Exhibit 2.2 to this current report on Form 8-K)

23

 

Consent of Niederhauser & Davis, LLC

99.1

 

Press Release of Ebix, Inc. dated February 23, 2004 (previously filed with the SEC on February 23, 2004 as Exhibit 99.1 to this current report on Form 8-K)

 


*                 The schedules and exhibits to the Stock Purchase Agreement are omitted pursuant to Item 601(b)(2) of Regulation S-K.  The Company agrees to furnish supplementally to the SEC, upon request, a copy of any omitted schedule or exhibit.

 

2



 

ANNEX A

 

INDEPENDENT AUDITORS’ REPORT

 

To the Board of Directors and Shareholders of

LifeLink Corporation

 

We have audited the accompanying balance sheets of LifeLink Corporation as of December 31, 2003 and 2002, and the related statements of income and retained earnings and cash flows for the years then ended.  These financial statements are the responsibility of the Company’s management.  Our responsibility is to express an opinion on these financial statements based on our audits.

 

We conducted our audits in accordance with auditing standards generally accepted in the United States of America.  Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement.  An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements.  An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation.  We believe that our audits provide a reasonable basis for our opinion.

 

In our opinion, the financial statements referred to above present fairly, in all material respects, the financial position of LifeLink Corporation as of December 31, 2003 and 2002, and the results of its operations and its cash flows for the years then ended in conformity with accounting principles generally accepted in the United States of America.

 

 

Park City, Utah

February 7, 2004

 

3



 

LIFELINK CORPORATION

BALANCE SHEETS

December 31, 2003 and 2002

 

 

 

2003

 

2002

 

 

 

 

 

 

 

ASSETS

 

 

 

 

 

 

 

 

 

 

 

CURRENT ASSETS:

 

 

 

 

 

Cash and cash equivalents

 

$

464,235

 

262,492

 

Accounts receivable

 

743,270

 

749,860

 

Prepaid income taxes

 

36,857

 

 

Prepaid expenses

 

30,184

 

128,512

 

Total current assets

 

1,274,546

 

1,140,864

 

 

 

 

 

 

 

Furniture and equipment

 

383,995

 

324,114

 

Less accumulated depreciation

 

(254,850

)

(181,928

)

Net furniture and equipment

 

129,145

 

142,186

 

 

 

 

 

 

 

Note receivable from employee, less current portion

 

29,665

 

 

Accrued interest receivable

 

104

 

 

Deferred tax asset

 

186,514

 

111,946

 

Intangible assets, net

 

864,972

 

1,189,336

 

 

 

 

 

 

 

TOTAL ASSETS

 

$

2,484,946

 

2,584,332

 

 

 

 

 

 

 

LIABILITIES AND SHAREHOLDERS’ EQUITY

 

 

 

 

 

 

 

 

 

 

 

CURRENT LIABILITIES:

 

 

 

 

 

 

 

 

 

 

 

Accounts payable

 

$

10,437

 

4,875

 

Accrued compensation

 

78,922

 

64,296

 

Payroll taxes payable

 

287,641

 

 

Deferred revenue

 

543,852

 

652,776

 

Accrued interest payable

 

1,575

 

2,486

 

Payable to shareholder

 

 

24,000

 

Note payable, current portion

 

300,000

 

1,100,000

 

Income taxes payable

 

 

166,364

 

Total current liabilities

 

1,222,427

 

2,014,797

 

 

 

 

 

 

 

Long-term note payable, less current portion

 

400,000

 

 

 

 

 

 

 

 

Commitments and contingencies

 

 

 

 

 

 

 

 

 

 

 

SHAREHOLDERS’ EQUITY:

 

 

 

 

 

Preferred stock – no par value, 10,000,000 shares authorized, none issued or outstanding

 

 

 

Common stock – no par value, 50,000,000 shares authorized, 10,000,000 shares issued and outstanding

 

200,000

 

200,000

 

Retained earnings

 

662,519

 

369,535

 

Total shareholders’ equity

 

862,519

 

569,535

 

 

 

 

 

 

 

TOTAL LIABILITIES AND SHAREHOLDERS’ EQUITY

 

$

2,484,946

 

$

2,584,332

 

 

See accompanying notes to financial statements.

 

4



 

LIFELINK CORPORATION

STATEMENTS OF INCOME AND RETAINED EARNINGS

Years ended December 31, 2003 and 2002

 

 

 

2003

 

2002

 

 

 

 

 

 

 

Revenue

 

$

5,333,725

 

4,348,215

 

Cost of revenue

 

1,643,603

 

1,398,858

 

Gross margin

 

3,690,122

 

2,949,357

 

 

 

 

 

 

 

OPERATING EXPENSES:

 

 

 

 

 

Research and development

 

898,960

 

566,038

 

Sales and marketing

 

361,166

 

295,274

 

General and administrative

 

1,922,771

 

1,507,194

 

Total operating expenses

 

3,182,897

 

2,368,506

 

 

 

 

 

 

 

Income from operations

 

507,225

 

580,851

 

 

 

 

 

 

 

OTHER INCOME (EXPENSE):

 

 

 

 

 

Loss on disposal of equipment

 

 

(3,726

)

Interest income

 

3,785

 

6,008

 

Interest expense

 

(44,357

)

(82,699

)

Total other expense

 

(40,572

)

(80,417

)

 

 

 

 

 

 

Income before income taxes

 

466,653

 

500,434

 

Provision for income taxes

 

(173,669

)

(183,391

)

 

 

 

 

 

 

Net income

 

292,984

 

317,043

 

 

 

 

 

 

 

Retained earnings at beginning of year

 

369,535

 

52,492

 

Retained earnings at end of year

 

$

662,519

 

369,535

 

 

See accompanying notes to financial statements.

 

5



 

LIFELINK CORPORATION

STATEMENTS OF CASH FLOWS

Years ended December 31, 2003 and 2002

 

 

 

2003

 

2002

 

CASH FLOWS FROM OPERATING ACTIVITIES:

 

 

 

 

 

Net income

 

$

292,984

 

317,043

 

Adjustments to reconcile net income to net cash provided by operating activities:

 

 

 

 

 

Depreciation and amortization

 

397,286

 

470,242

 

Loss on disposal of equipment

 

 

3,726

 

Deferred tax asset

 

(74,568

)

(92,973

)

Changes in operating assets and liabilities:

 

 

 

 

 

Accounts receivable

 

6,591

 

(343,788

)

Prepaid income taxes

 

(36,857

)

 

Prepaid expenses

 

98,328

 

(103,933

)

Note receivable from employee

 

(29,665

)

 

Accrued interest receivable

 

(104

)

 

Accounts payable

 

5,561

 

(2,371

)

Accrued compensation

 

14,626

 

(80,127

)

Payroll taxes payable

 

287,641

 

 

Deferred revenue

 

(108,923

)

185,690

 

Accrued interest payable

 

(911

)

(1,212

)

Payable to shareholder

 

(24,000

)

24,000

 

Income taxes payable

 

(166,364

)

124,829

 

 

 

 

 

 

 

Net cash provided by operating activities

 

661,625

 

501,126

 

 

 

 

 

 

 

CASH FLOWS FROM INVESTING ACTIVITIES:

 

 

 

 

 

Purchase of computer equipment

 

(59,882

)

(73,820

)

 

 

 

 

 

 

CASH FLOWS FROM FINANCING ACTIVITIES:

 

 

 

 

 

Principal repayments of note payable

 

(400,000

)

(400,000

)

 

 

 

 

 

 

NET INCREASE IN CASH AND CASH EQUIVALENTS

 

201,743

 

27,306

 

 

 

 

 

 

 

Cash and cash equivalents at beginning of year

 

262,492

 

235,186

 

Cash and cash equivalents at end of year

 

$

464,235

 

$

262,492

 

 

 

 

 

 

 

Supplemental disclosure of cash flow information:

 

 

 

 

 

Income taxes paid

 

451,458

 

151,535

 

Interest paid

 

45,268

 

83,911

 

 

See accompanying notes to financial statements.

 

6



 

LIFELINK CORPORATION

NOTES TO FINANCIAL STATEMENTS

December 31, 2003 and 2002

 

1.                    ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

 

General – LifeLink Corporation (the Company) was incorporated in Utah on July 3, 2001.  The Company is engaged in the development and distribution of software and support for the insurance industry throughout the United States.

 

Cash and Cash Equivalents – The Company considers all highly liquid investments with maturities of three months or less when purchased to be cash equivalents.  The Company maintains its cash and cash equivalents in federally insured banks.  The Company’s deposits may at times exceed federal insurance limits.  The Company believes it is not exposed to any significant credit risk on cash.

 

Prepaid Expenses – Prepaid expenses consist primarily of prepaid marketing and trade show expenses, subscriptions and travel expenses.

 

Furniture and Equipment – Furniture and equipment are stated at cost, net of accumulated depreciation.  Depreciation is calculated using the straight-line method over the estimated useful lives of the related assets.

 

Software Development Costs – Costs incurred for software development before technological feasibility is established are expensed as research and development expenses when incurred.  After establishment of technological feasibility and before a product is released to customers, software development costs are capitalized.  These costs have not been material and have been expensed as incurred.

 

Intangible Assets – Intangible assets include software and Internet technology, licenses to insurance databases, and customer lists and relationships, and are valued at the amount allocated in the business combination which occurred in 2001.  Intangible assets are being amortized over five years.  Amortization expense was $324,364 for each of the years ended December 31, 2003 and 2002.

 

Revenue Recognition – The Company derives its revenues from licenses and subscriptions for its products, as well as related services and customer support.  Support includes telephone technical support, bug fixes and rights to unspecified upgrades on a when and if available basis.  Revenues are recognized only when evidence of an agreement exists, delivery has occurred, all significant obligations of the Company are satisfied, the fee is fixed and determinable, and collection is probable.  In software license arrangements that contain multiple elements, the Company allocates the total fee among each deliverable element.  Subscription revenue is recognized ratably over the subscription period.  Revenue allocated to customer support is recognized on a straight-line basis over the period support is provided.

 

Income Taxes – The Company provides for income taxes on the asset and liability method, which requires recognition of deferred tax assets and liabilities based on differences between financial reporting and tax bases of assets and liabilities measured using enacted tax rates and laws that are expected to be in effect when the differences are expected to reverse.

 

7



 

Use of Estimates - The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect certain reported amounts and disclosures.  Actual results could differ from those estimates.

 

2.                    NOTE RECEIVABLE

 

In April 2003 the Company made a loan to an employee for $32,000, with an interest rate of 3%, and principal and accrued interest due in April 2006.  The employee is required to pay against the note, one-half of any bonuses received, with the payment being first applied to accrued interest.  The employee made a voluntary payment of $2,900 in November 2003.  Because the amount of any bonus to be paid has not yet been determined, the entire balance of the note and accrued interest are shown as long-term on the balance sheet.

 

3.                    FURNITURE AND EQUIPMENT

 

Furniture and equipment consists of the following at December 31, 2003 and 2002:

 

 

 

2003

 

2003

 

Computer equipment

 

$

286,093

 

226,212

 

Furniture and fixtures

 

57,511

 

57,511

 

Office equipment

 

40,391

 

40,391

 

 

 

383,995

 

324,114

 

Accumulated depreciation

 

(254,850

)

(181,928

)

 

 

$

129,145

 

142,186

 

 

4.                    NOTE PAYABLE

 

On November 26, 2001 the Company entered into a note payable with Zions First National Bank for $1,500,000, with a due date of May 15, 2003.  The interest rate was prime plus 1% (5.25% at December 31, 2002), payable monthly.  The note was collateralized by essentially all assets of the Company.  Principal payments were made against the note in 2002 and 2003, reducing it to $900,000.  In June 2003 the note was renewed and extended.  The interest rate is prime plus 0.5% (4.5% at December 31, 2003), payable monthly.  Three equal payments of $300,000 are due in June 2004, June 2005 and February 2006.  In October 2003 the Company made a principal payment of $200,000.  Although this payment reduces the balance of the note, the terms of the note specify that the regularly scheduled payment in June 2004 must still be made.  The note is secured by the personal guarantee and personal assets of the holder of all of the Company’s common stock.

 

8



 

5.                    RELATED PARTY TRANSACTIONS

 

The Company leases its office facilities from an entity owned by the holder of all of the Company’s common stock.

 

During 2002 the Company received a reimbursement of $24,000 for expenses incurred before the business combination in 2001.  This reimbursement rightfully belongs to the shareholder of the Company and is shown as a payable to shareholder on the balance sheet at December 31, 2002.  It was paid during 2003.

 

The Company has an agreement under which sales commissions of $10,000 were paid in each of the years ended December 31, 2003 and 2002 to the father of the holder of all of the Company’s common stock.

 

6.                    LEASE COMMITMENTS

 

The Company leases its office facilities under an operating lease expiring on December 31, 2006, with a one-year renewal option.  Rent is increased 4% each year, beginning in 2003.  The lessor waived the 4% rent increase for 2003.  The lessor is a limited liability company owned by the holder of all of the Company’s outstanding common stock.  Future minimum lease payments required under the lease at December 31, 2003 are as follows:

 

Year Ending

 

 

 

2004

 

 

$

142,771

 

2005

 

 

148,482

 

2006

 

 

154,421

 

Total minimum lease payments

 

$

445,674

 

 

Total rent expense under the lease was $132,000 for each of the years ended December 31, 2003 and 2002.

 

7.                    INCOME TAXES

 

Deferred income taxes reflect the net effects of temporary differences between the carrying amounts of assets and liabilities for financial reporting purposes and the amounts used for income tax purposes.  The Company’s deferred tax asset results primarily from the longer amortization life of intangible assets used for income tax purposes.

 

9



 

Income tax expense for the years ended December 31, 2003 and 2002, consist of the following:

 

 

 

2003

 

2002

 

Current Federal income tax expense

 

$

215,912

 

239,318

 

Current state income tax expense

 

32,325

 

37,046

 

Deferred Federal income tax benefit

 

(65,662

)

(81,026

)

Deferred state income tax benefit

 

(8,906

)

(11,947

)

 

 

$

173,669

 

183,391

 

 

8.                    EMPLOYEE BENEFIT PLAN

 

The Company has adopted a tax qualified employee savings and retirement plan (401(k) Plan) covering eligible employees.  Employees are eligible after one month of service and attainment of age 21.  The Plan allows employees to contribute up to 15 percent of their annual compensation, subject to maximum amounts allowable by law.  The Plan requires the Company to match 60 percent of the first 5 percent of the employee’s contributions.  The Company may also make additional discretionary contributions to the Plan.  The Company made matching contributions of $54,395 and $55,578 during the years ended December 31, 2003 and 2002, respectively.  The Company also made discretionary contributions of $47,830 and $43,564 during the years ended December 31, 2003 and 2002, respectively.

 

10



 

ANNEX B

 

The following unaudited pro forma condensed combining financial data are qualified in their entirety by reference to, and should be read in conjunction with, the historical consolidated financial statements of LifeLink Corporation and notes thereto included herein.

 

Ebix, Inc. and Subsidiaries

Unaudited Pro Forma Condensed

Combining Balance Sheet

December 31, 2003

(In thousands)

 

 

 

Ebix, Inc.

 

LifeLink

 

Pro Forma
Adjustments

 

 

Ebix, Inc./
LifeLink
ProForma

 

ASSETS

 

 

 

 

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

7,915

 

$

464

 

$

(5,000

)(A)

 

$

3,379

 

Accounts receivable, less allowances

 

1,787

 

743

 

 

 

2,530

 

Prepaid expenses

 

 

30

 

 

 

30

 

Prepaid income taxes

 

 

37

 

(37

)(G)

 

 

Other current assets

 

364

 

 

 

 

364

 

Total current assets

 

10,066

 

1,274

 

(5,037

)

 

6,303

 

Property and equipment, net

 

1,353

 

129

 

 

 

1,482

 

Capitalized software, net

 

109

 

 

 

 

109

 

Goodwill

 

123

 

 

5,520

(D)

 

5,643

 

Note receivable from employee

 

 

30

 

(30

)(G)

 

 

Deferred tax asset

 

 

187

 

 

 

187

 

Intangibles

 

 

865

 

(865

)(C)

 

 

 

 

 

 

3,851

(D)

 

3,851

 

Other assets

 

320

 

 

 

 

320

 

Total assets

 

$

11,971

 

$

2,485

 

$

3,439

 

 

$

17,895

 

 

 

 

 

 

 

 

 

 

 

 

LIABILITIES AND STOCKHOLDERS’ EQUITY

 

 

 

 

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

 

 

 

 

Accounts payable and accrued expenses

 

$

1,778

 

$

11

 

$

70

(I)

 

$

1,859

 

Accrued payroll and related benefits

 

1,287

 

367

 

 

 

1,654

 

Current portion of capital lease obligation

 

73

 

 

 

 

73

 

Deferred revenue

 

2,141

 

544

 

(65

)(E)

 

 

 

 

 

 

 

 

 

(294

)(F)

 

2,326

 

Deposit liability

 

 

 

65

(E)

 

65

 

Note payable to former shareholder, current portion

 

 

 

500

(A)

 

500

 

Note payable, current portion

 

 

300

 

(300

)(G)

 

 

Total current liabilities

 

5,279

 

1,222

 

(24

)

 

6,477

 

 

 

 

 

 

 

 

 

 

 

 

Long term note payable to former shareholder, less current portion

 

 

 

1,726

(A)

 

1,726

 

Liability for guarantee

 

 

 

2,700

(B)

 

2,700

 

Long term note payable, less current portion

 

 

400

 

(400

)(G)

 

 

Total liabilities

 

5,279

 

1,622

 

4,002

 

 

10,903

 

 

 

 

 

 

 

 

 

 

 

 

Stockholders’ equity:

 

 

 

 

 

 

 

 

 

 

Convertible Series D Preferred stock

 

 

 

 

 

 

 

 

 

Common stock, $.10 par value, 40,000,000 shares authorized

 

232

 

200

 

20

(A)

 

 

 

 

 

 

 

 

 

(200

)(H)

 

252

 

Additional paid-in capital

 

88,706

 

 

 

(2,700

)(B)

 

 

 

 

 

 

 

 

 

2,980

(A)

 

88,986

 

Deferred compensation

 

(436

)

 

 

 

 

 

(436

)

Accumulated deficit

 

(82,251

)

663

 

(663

)(H)

 

(82,251

)

Accumulated other comprehensive income

 

441

 

 

 

 

 

 

441

 

Total stockholders’ equity

 

6,692

 

863

 

(563

)

 

6,992

 

Total liabilities and stockholders’ equity

 

$

11,971

 

$

2,485

 

$

3,439

 

 

$

17,895

 

 

See accompanying notes to unaudited pro forma condensed combining financial statements.

 

11



 

Ebix, Inc. and Subsidiaries

Unaudited Pro Forma Condensed Combining Statement of Income
For the Year Ending December 31, 2003

(In thousands, except per share amounts)

 

 

 

Ebix, Inc.

 

LifeLink

 

Pro Forma
Adjustments

 

Ebix, Inc./
LifeLink
ProForma

 

 

 

 

 

 

 

 

 

 

 

Revenue:

 

 

 

 

 

 

 

 

 

Software

 

$

1,498

 

 

 

$

1,498

 

Services and other

 

12,935

 

5,334

 

(401

)(M)

17,868

 

Total revenue

 

14,433

 

5,334

 

(401

)

19,366

 

Operating expenses:

 

 

 

 

 

 

 

 

 

Services and other costs

 

4,210

 

1,644

 

 

5,854

 

Product development

 

1,552

 

899

 

 

2,451

 

Sales and marketing

 

1,616

 

361

 

 

1,977

 

General and administrative

 

5,364

 

1,923

 

(324

)(J)

 

 

 

 

 

 

 

 

661

(K)

7,624

 

Total operating expenses

 

12,742

 

4,827

 

337

 

17,906

 

Operating income

 

1,691

 

507

 

(738

)

1,460

 

Interest income

 

78

 

4

 

 

82

 

Interest expense

 

(17

)

(44

)

(89

)(L)

(150

)

Foreign exchange gain

 

13

 

 

 

13

 

Income before income taxes

 

1,765

 

467

 

(827

)

1,405

 

Income tax provision

 

(96

)

(174

)

 

(270

)

Net income

 

$

1,669

 

$

293

 

$

(827

)

$

1,135

 

 

 

 

 

 

 

 

 

 

Basic earnings per common share

 

$

0.73

 

 

 

$

0.46

 

Diluted earnings per common share

 

$

0.71

 

 

 

$

0.45

 

Basic weighted average shares outstanding

 

2,294

 

 

200

 

2,494

 

Diluted weighted average shares outstanding

 

2,349

 

 

200

 

2,549

 

 

See accompanying notes to unaudited pro forma condensed combining financial statements.

 

12



 

Ebix, Inc. and Subsidiaries

Notes to Unaudited Pro Forma Condensed Combining Financial Statements
(amounts in thousands)

 

1.              BASIS OF PRESENTATION

 

The unaudited pro forma condensed combining balance sheet as of December 31, 2003 gives effect to the acquisition of LifeLink Corporation (“LifeLink”) a privately-held Utah corporation, as if it occurred on that date.  The unaudited pro forma condensed combining statement of operations for the year ended December 31, 2003 gives effect to the acquisition of LifeLink as if it occurred on January 1, 2003.

 

Under the terms and conditions of the Stock Purchase Agreement, dated February 23, 2004, LifeLink became a wholly-owned subsidiary of Ebix, Inc. (“the Company”).  The Company acquired all of the assets of LifeLink for approximately $10,226.  The Company also incurred approximately $70 of direct expenses related to closing the LifeLink acquisition.  The Company funded the acquisition using available cash on hand as well as the issuance of stock and debt.

 

The assets acquired and liabilities assumed in this acquisition were recorded based on management’s best estimates of fair market value with any excess purchase price being allocated to goodwill and other intangible assets.  The preliminary purchase price allocation may be subject to further adjustments as the Company finalizes its allocation in accordance with accounting principles generally accepted in the United States of America.

 

2.              PRO FORMA ADJUSTMENTS TO THE BALANCE SHEET AND STATEMENT OF OPERATIONS

 


(A)       Reflects Ebix, Inc.’s purchase price of approximately $10,226 in cash, note and stock paid to LifeLink’s shareholder.

(B)         Reflects the adjustment reclassifying the guarantee of $2,700 relating to the 200,000 shares of common stock issued to the former owner.

(C)         Reflects the write off of the Intangible assets related to the LifeLink 2001 acquisition.

(D)        Reflects the establishment of goodwill in the amount of $5,520 and other intangible assets of $3,851.

(E)          Reflects the reclassification of deposits from deferred revenue to deposit liabilities.

(F)          Reflects the adjustment of deferred revenue acquired to its estimated fair value.

(G)         Reflects the elimination as part of the purchase price as the fair values of these assets and liabilities were deemed to be zero.

(H)        Reflects the elimination of LifeLink’s common stock and accumulated retained earnings.

(I)             Reflects the acquisition costs related to the LifeLink acquisition.

(J)            Reflects the elimination of the 2003 amortization expense related to LifeLink’s intangible assets from the 2001 business combination.

(K)        Reflects the assumed amortization of $661 during 2003 related to the establishment of intangible assets in connection with the acquisition.

(L)          Imputed interest related to note payable to former shareholder.

(M)     Reflects a reduction of revenue related to recording LifeLink’s deferred revenue to fair value at January 1, 2003 and subsequent recognition of adjusted deferred revenue.

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SIGNATURE

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

Dated:  May 7, 2004

 

 

EBIX, INC.

 

 

 

 

 

By:

/s/  Richard J. Baum

 

 

 

Richard J. Baum

 

 

Executive Vice President —

 

 

Finance and Administration,

 

 

Chief Financial Officer and Secretary

 

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EXHIBIT INDEX

 

Exhibit No.

 

Exhibit

23

 

Consent of Niederhauser & Davis, LLC

 

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