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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G/A
Under the Securities Exchange Act of 1934
(Amendment No. 3)*
EBIX.COM, INC.
COMMON STOCK, $0.10 par value
247171 10 1
December 31, 2003
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
o Rule 13d-1 (b)
x Rule 13d-1 (c)
o Rule 13d-1 (d)
*The remainder of this cover page shall be filled out for a
reporting persons initial filing on this form with respect to the subject
class of securities, and for any subsequent amendment containing information
which would alter the disclosures provided in a prior cover page.
The information required in the remainder of this cover page
shall not be deemed to be filed for the purpose of Section 18
of the Securities Exchange Act of 1934 or otherwise subject to the liabilities
of that section of the Act but shall be subject to all other provisions of the
Act (however, see the notes).
13G | ||||||
CUSIP No. 247171 10 1 | Page 2 of 5 | |||||
1. | Name of Reporting Person: Wayne William Mills |
I.R.S. Identification Nos. of above
persons (entities only): |
||||
2. | Check the Appropriate Box if a Member of a Group: | |||||
(a) | o | |||||
(b) | x | |||||
3. | SEC Use Only: | |||||
4. | Citizenship or Place of
Organization: USA |
|||||
Number
of Shares Beneficially Owned by Each Reporting Person With | ||||||
5. | Sole Voting
Power: 65,188 | |||||
6. | Shared Voting Power: 0 | |||||
7. | Sole Dispositive Power: 65,188 | |||||
8. | Shared Dispositive Power: 0 | |||||
9. | Aggregate Amount Beneficially Owned by Each Reporting Person:
65,188 |
|||||
10. | Check if the Aggregate Amount in Row (9) Excludes Certain
Shares: o |
|||||
11. | Percent of Class Represented by Amount in Row
(9): 2.8% (Based on 2,291,143 shares outstanding as of 11/7/03, as reported by the Issuer on its Form 10-Q for the quarter ended 9/30/03) | |||||
12. | Type of Reporting Person: IN | |||||
Item 1. | ||||||
(a) | Name of Issuer: | |||||
EBIX.COM, INC. | ||||||
(b) | Address of Issuers Principal Executive Office: | |||||
1900 E. Golf Road, Schaumburg, IL 60173 | ||||||
Item 2. | ||||||
(a) | Name of Person Filing: | |||||
Wayne William Mills | ||||||
(b) | Address of Principal Business Office: | |||||
800 Nicollet Mall, Suite 2690, Minneapolis, MN 55402 | ||||||
(c) | Citizenship: | |||||
United States | ||||||
(d) | Title of Class of Securities: | |||||
Common Stock, $.10 par value | ||||||
(e) | CUSIP Number: | |||||
247171101 | ||||||
Item 3. | If this Statement is Filed Pursuant to Rule 13d-1(b), or 13d-2(b) or (c), Check Whether the Person Filing is a: | |||||
(a) | o | Broker or dealer registered under Section 15 of the Exchange Act. | ||||
(b) | o | Bank as defined in Section 3(a)(6) of the Exchange Act. | ||||
(c) | o | Insurance company as defined in Section 3(a)(19) of the Exchange Act. | ||||
(d) | o | Investment company registered under Section 8 of the Investment Company Act. | ||||
(e) | o | An investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E); | ||||
(f) | o | An employee benefit plan or endowment fund in accordance with Rule 13d-1(b)(1)(ii)(F); | ||||
(g) | o | A parent holding company or control person in accordance with Rule 13d-1(b)(1)(ii)(G); | ||||
(h) | o | A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act; | ||||
(i) | o | A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act; | ||||
(j) | o | Group, in accordance with Rule 13d-1(b)(1)(ii)(J); |
Item 4. | Ownership. |
Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.
(a) | Amount beneficially owned: 65,188 |
(b) | Percent of Class: 2.8% |
(c) | Number of Shares as to Which Such Person Has: |
(i) | sole power to vote or direct the vote: |
65,188 |
(ii) | shared power to vote or direct the vote: |
0 |
(iii) | sole power to dispose or direct the disposition of: |
65,188 |
(iv) | shared power to dispose or to direct the disposition of: |
0 |
Item 5. | Ownership of Five Percent or Less of a Class. |
If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following x.
Item 6. | Ownership of More than Five Percent on Behalf of Another Person. |
Not applicable. |
Item 7. | Identification and Classification of the Subsidiary Which Acquired the Security being Reported on by the Parent Holding Company. |
Not applicable. |
Item 8. | Identification and Classification of Members of the Group. |
Not applicable. |
Item 9. | Notice of Dissolution of Group. |
Not applicable. |
Item 10. | Certifications. |
(a) | Not applicable. |
(b) | By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect. |
SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
Dated: February 17, 2004 | |||
By: | /s/ Wayne W. Mills | ||
Wayne W. Mills |