SEC Form 4/A · accession 0001214659-15-007890
Hill-Rom Holdings, Inc. · HRC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Susan R Lichtenstein
Officer — Sr. VP and CLO
Period of report
Sep 30, 2015
Accepted (ET)
Nov 18, 2015 · 7:00 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000047518
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Sep 30, 2015 | M | 23,112 | $0.00 | A | 34,967 | D | |
| Common Stock | Sep 30, 2015 | F | 7,750 | $51.91 | D | 27,217 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Performance Share Units (11/13/2012)F1 | $51.91 | Sep 30, 2015 | M | 23,112 | D | Sep 30, 2015 | Sep 30, 2015 | Common Stock | 23,112 | 0 | D |
Explanation of responses
- F1The shares of common stock were issued upon previously awarded performance-based stock options. The performance-based stock options did not constitute derivative securities and therefore were not reported when awarded.
Remarks
This amendment is filed solely to notate the correct number of shares forfeited to satisfy the filer's state income tax liability.