SEC Form 4 · accession 0001214659-17-000012
Hillenbrand, Inc. · HI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Tom Johnson
Director
Period of report
Dec 30, 2016
Accepted (ET)
Jan 3, 2017 · 11:42 am EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001417398
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock Units (Deferred Stock Award) 4/30/08F1,F3 | — | Dec 30, 2016 | A | 5 | A | — | — | Common Stock | 5 | 1,189 | D |
| Restricted Stock Units (Deferred Stock Award) 2/11/09F1,F3 | — | Dec 30, 2016 | A | 32 | A | — | — | Common Stock | 32 | 6,191 | D |
| Restricted Stock Units (Deferred Stock Award 2/24/10)F1,F3 | — | Dec 30, 2016 | A | 28 | A | — | — | Common Stock | 28 | 5,545 | D |
| Restricted Stock Units (Deferred Stock Award) 2/23/11F1,F3 | — | Dec 30, 2016 | A | 26 | A | — | — | Common Stock | 26 | 4,984 | D |
| Restricted Stock Units (Deferred Stock Award) 2/22/12F1,F3 | — | Dec 30, 2016 | A | 24 | A | — | — | Common Stock | 24 | 4,740 | D |
| Restricted Stock Units (Deferred Stock Award) 2/27/13F1,F3 | — | Dec 30, 2016 | A | 22 | A | — | — | Common Stock | 22 | 4,329 | D |
| Restricted Stock Units (Deferred Stock Award 2/26/14)F1,F3 | — | Dec 30, 2016 | A | 17 | A | — | — | Common Stock | 17 | 3,426 | D |
| Restricted Stock Units (Deferred Stock Award 2/25/15F1,F3 | — | Dec 30, 2016 | A | 17 | A | — | — | Common Stock | 17 | 3,373 | D |
| Restricted Stock Units (Deferred Stock Award 2/24/2016F1,F3 | — | Dec 30, 2016 | A | 20 | A | — | — | Common Stock | 20 | 3,835 | D |
| RESTRICTED STOCK UNITS CUMULATIVE TOTALF4,F1,F3 | — | holding | — | — | — | — | — | Common Stock | 37,612 | 37,612 | D |
Explanation of responses
- F1Conversion of Exercise Price of Derivative Securities is 1-for-1.
- F2Restricted Stock Units are entitled to dividend equivalent rights which accrue on dividend record dates.
- F3These stock units vest immediately upon grant. However, delivery of these shares will not occur until the occurrence of one of the following: a change in control of the Company, the director's death or permanent and total disability, or one day after the date the director ceases to be a director of the Company.
- F4This amount represents cumulative total of all Restricted Stock Units (deferred stock awards) granted to reporting person. This cumulative total does not represent additional Restricted Stock Units granted to the reporting person, but is merely a total of all awards reported separately on this SEC Form 4.