SEC Form 5 · accession 0001214659-16-014720
Hill-Rom Holdings, Inc. · HRC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Carlyn D Solomon
Officer — Chief Operating Officer
Period of report
Sep 30, 2016
Accepted (ET)
Nov 15, 2016 · 4:05 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 StockF1 | Nov 18, 2015 | M | 19,157 | — | A | 19,157 | D | |
| Common StockF2 | Nov 18, 2015 | F | 5,958 | $51.59 | D | 13,199 | D |
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 (11/17/2014)F1,F3 | — | Nov 18, 2015 | M | 19,157 | D | — | — | Common Stock | 19,157 | 37,190 | D |
Explanation of responses
- F1Restricted stock units convert into common stock on a one-for-one basis.
- F2This total reflects ownership as of 9/30/2016; total shares beneficially owned as reported in interim reports since 11/18/2015, if any, are deemed amended to reflect the previously unreported transaction identified in note (3) below.
- F3On 11/17/2014, the reporting person was granted 56,347 restricted stock units. Restricted stock units vest 34% on 11/18/2015, 33% on 11/18/2016, and 33% on 11/18/2017. Restricted stock units are automatically converted into shares of common stock in accordance with the respective vesting schedule unless a previous deferral election has been made. Restricted stock units are entitled to dividend equivalent rights, which accrue on dividend record dates.