SEC Form 4 · accession 0001214659-16-013984
Hill-Rom Holdings, Inc. · HRC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Alton Shader
Officer — SVP and President, Welch Allyn
Period of report
Oct 1, 2016
Accepted (ET)
Oct 4, 2016 · 8:42 pm EDT
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 | Oct 1, 2016 | M | 11,990 | $0.00 | A | 33,106 | D | |
| Common Stock | Oct 1, 2016 | F | 4,004 | $61.58 | D | 29,102 | 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 (11/18/2013)F1 | $61.58 | Oct 1, 2016 | M | 11,990 | A | Oct 1, 2016 | Oct 1, 2016 | Common Stock | 11,990 | 0 | D |
Explanation of responses
- F1The shares of common stock were issued upon previously awarded performance-based stock. The performance-based stock did not constitute derivative securities and therefore were not reported when awarded.