SEC Form 4/A · accession 0001214659-16-014726
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
Jason Richardson
Officer — VP and Corporate Controller
Period of report
Oct 1, 2016
Accepted (ET)
Nov 15, 2016 · 4:07 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 | Oct 1, 2016 | M | 1,007 | $0.00 | A | — | D | |
| Common Stock | Oct 1, 2016 | F | 310 | $61.58 | D | — | 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 | 1,007 | A | Oct 1, 2016 | Oct 1, 2016 | Common Stock | 1,007 | 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 was 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.