Statement of Changes in Beneficial Ownership (4)
January 05 2021 - 4:17PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Kitzmiller Andrew S. |
2. Issuer Name and Ticker or Trading Symbol
Hillenbrand, Inc.
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HI
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) VP, CAO and Controller |
(Last)
(First)
(Middle)
ONE BATESVILLE BLVD. |
3. Date of Earliest Transaction
(MM/DD/YYYY)
12/31/2020 |
(Street)
BATESVILLE, IN 47006
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock | | | | | | | | 3767 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Restricted Stock Units (Deferred Stock Award 12/5/19) | (1) | 12/31/2020 | | A (2) | | 11 | | (3) | (3) | Common Stock | 11 | $0 | 2168 | D | |
Restricted Stock Units (Deferred Stock Award 12/3/20) | (1) | 12/31/2020 | | A (2) | | 14 | | (4) | (4) | Common Stock | 14 | $0 | 2621 | D | |
RESTRICTED STOCK UNITS CUMULATIVE TOTAL | (1) | | | | | | | (3)(4) | (3)(4) | Common Stock | 25 (5) | | 4789 (5) | D | |
Explanation of Responses: |
(1) | Conversion or Exercise Price of Derivative Securities is 1-for-1. |
(2) | Restricted Stock Units are entitled to dividend equivalent rights, which accrue on dividend record dates. |
(3) | Restricted stock units vest 33% on 12/5/2020; 33% on 12/5/2021; and 34% on 12/5/2022. |
(4) | Restricted stock units vest one-third on 12/3/2021, one-third on 12/3/2022 and one-third on 12/3/2023. |
(5) | This amount represents cumulative total of all Restricted Stock Units (deferred stock awards) granted to reporting person. This cumulative total does not represent additional Restricted Stock Units granted to the reporting person, but is merely a total of all awards reported separately on this SEC Form 4. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Kitzmiller Andrew S. ONE BATESVILLE BLVD. BATESVILLE, IN 47006 |
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| VP, CAO and Controller |
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Signatures
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/s/ Patricia C. Lecher, as Attorney-in-Fact for Andrew S. Kitzmiller | | 1/5/2021 |
**Signature of Reporting Person | Date |
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