SEC Form 4 · accession 0001634825-17-000002
KIMBALL INTERNATIONAL INC · KBAL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael Shane Wagner
Officer — VICE PRESIDENT
Period of report
Jun 30, 2017
Accepted (ET)
Jul 5, 2017 · 1:43 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000055772
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| CLASS B COMMON STOCK | Jun 30, 2017 | M | 11,313 | $0.00 | A | 37,764 | D | |
| CLASS B COMMON STOCKF1 | Jun 30, 2017 | A | 414 | $0.00 | A | 38,178 | D | |
| CLASS B COMMON STOCKF2 | Jun 30, 2017 | F | 3,703 | $16.72 | D | 34,475 | 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 UNITSF5,F3,F4 | — | Jun 30, 2017 | M | 11,313 | D | — | — | CLASS B COMMON STOCK | 11,313 | 19,619 | D |
Explanation of responses
- F1Represents shares of Class B Common Stock acquired pursuant to the Restricted Stock Unit Award Agreement between the reporting person and Kimball International Inc. (the "Company"), determined by dividing the accumulated phantom cash dividends credited to the restricted stock units by the closing sales price of one share of Class B Common Stock on the vest date.
- F2Represents shares withheld by the Company to satisfy tax withholding obligations on the vesting of the restricted stock units.
- F3The Restricted Stock Units convert on a one-for-one basis into shares of Class B Common Stock.
- F4Represents Restricted Stock Units granted in prior years and vest on 6/30/17 (11,313 shares).
- F5Represents Restricted Stock Units which vest on 6/30/18 (8,974 shares) and 6/30/19 (10,645 shares).