SEC Form 5 · accession 0001214659-16-014721
Hill-Rom Holdings, Inc. · HRC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Alton Shader
Officer — SVP and Pres., Welch Allyn
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 16, 2015 | M | 6,918 | — | A | 32,624 | D | |
| Common StockF2 | Nov 16, 2015 | F | 3,162 | $51.33 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock Units (11/13/2012)F1,F3 | — | Nov 16, 2015 | M | 6,918 | D | — | — | Common Stock | 6,918 | 0 | 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 11/16/2015, if any, are deemed amended to reflect the previously unreported transaction identified in note (3) below.
- F3On 11/13/2012, the reporting person was granted 6,918 restricted stock units. Restricted stock units vested 100% on 11/16/2015. Restricted stock units are automatically converted into shares of common stock in accordance with the respective vesting schedule unless a pervious deferral election has been made. Restricted stock units are entitled to dividend equivalent rights, which accrue on dividend record dates