Statement of Changes in Beneficial Ownership (4)
January 05 2021 - 04:16PM
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 * TAYLOR STUART A
II |
2. Issuer Name and Ticker or Trading
Symbol Hillenbrand, Inc. [ HI ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)__X__
Director _____
10% Owner
_____ Officer (give title
below) _____ Other
(specify below)
|
(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 |
Table I - Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned
|
1.Title of Security
(Instr. 3) |
2. Trans. Date |
2A. Deemed Execution Date, if any |
3. Trans. Code
(Instr. 8) |
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) |
5. Amount of Securities Beneficially Owned Following
Reported Transaction(s)
(Instr. 3 and 4) |
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4) |
7. Nature of Indirect Beneficial Ownership (Instr.
4) |
Code |
V |
Amount |
(A) or (D) |
Price |
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible
securities)
|
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)
2/11/09 |
(1) |
12/31/2020 |
|
A (2) |
|
35 |
|
(3) |
(3) |
Common Stock |
35 |
$0 |
6787 |
D |
|
Restricted Stock Units (Deferred Stock Award)
2/24/10 |
(1) |
12/31/2020 |
|
A (2) |
|
32 |
|
(3) |
(3) |
Common Stock |
32 |
$0 |
6078 |
D |
|
Restricted Stock Units (Deferred Stock Award)
2/23/11 |
(1) |
12/31/2020 |
|
A (2) |
|
28 |
|
(3) |
(3) |
Common Stock |
28 |
$0 |
5462 |
D |
|
Restricted Stock Units (Deferred Stock Award)
2/22/12 |
(1) |
12/31/2020 |
|
A (2) |
|
27 |
|
(3) |
(3) |
Common Stock |
27 |
$0 |
5193 |
D |
|
Restricted Stock Units (Deferred Stock Award)
2/27/13 |
(1) |
12/31/2020 |
|
A (2) |
|
25 |
|
(3) |
(3) |
Common Stock |
25 |
$0 |
4746 |
D |
|
Restricted Stock Units (Deferred Stock Award)
2/26/14 |
(1) |
12/31/2020 |
|
A (2) |
|
19 |
|
(3) |
(3) |
Common Stock |
19 |
$0 |
3752 |
D |
|
Restricted Stock Units (Deferred Stock Award)
2/25/15 |
(1) |
12/31/2020 |
|
A (2) |
|
19 |
|
(3) |
(3) |
Common Stock |
19 |
$0 |
3698 |
D |
|
Restricted Stock Units (Deferred Stock Award)
2/24/16 |
(1) |
12/31/2020 |
|
A (2) |
|
22 |
|
(3) |
(3) |
Common Stock |
22 |
$0 |
4208 |
D |
|
Restricted Stock Units (Deferred Stock Award)
2/22/17 |
(1) |
12/31/2020 |
|
A (2) |
|
15 |
|
(3) |
(3) |
Common Stock |
15 |
$0 |
2974 |
D |
|
Restricted Stock Units (Deferred Stock Award)
2/15/18 |
(1) |
12/31/2020 |
|
A (2) |
|
14 |
|
(3) |
(3) |
Common Stock |
14 |
$0 |
2629 |
D |
|
Restricted Stock Units (Deferred Stock Award)
2/14/19 |
(1) |
12/31/2020 |
|
A (2) |
|
14 |
|
(3) |
(3) |
Common Stock |
14 |
$0 |
2638 |
D |
|
Restricted Stock Units (Deferred Stock Award)
2/13/20 |
(1) |
12/31/2020 |
|
A (2) |
|
21 |
|
(4) |
(4) |
Common Stock |
21 |
$0 |
3940 |
D |
|
RESTRICTED STOCK UNITS CUMULATIVE
TOTAL |
(1) |
|
|
|
|
|
|
(3)(4) |
(3)(4) |
Common Stock |
271 (5) |
|
52105 (5) |
D |
|
Deferred Director Fees |
(1) |
12/31/2020 |
|
A (2) |
|
50 |
|
(6) |
(6) |
Common Stock |
50 |
$0 |
11728 |
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) |
These stock units vest
immediately upon grant. However, for awards granted prior to May
2014, directors must hold the underlying shares of common stock of
the Company for six months after they cease serving as a director;
for awards granted in May 2014 or later, directors must hold the
underlying shares of common stock of the Company for one day after
the director ceases serving. |
(4) |
These stock units vest
immediately upon grant. However, delivery of these shares will not
occur until the occurrence of one of the following: change in
control of the Company, the director's death or permanent and total
disability, or one day after the director ceases to be a director
of the Company. |
(5) |
This amount represents the
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. |
(6) |
These stock units will
automatically be converted into shares of common stock in two
annual installments. The first installment will be made on the date
the reporting person cease to be a member of the Board of Directors
of the Company. The second installment will be made on the one year
anniversary of the date the reporting person ceases to be a member
of the Board of Directors. |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
TAYLOR STUART A II
ONE BATESVILLE BLVD
BATESVILLE, IN 47006 |
X |
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Signatures
|
/s/ Patricia C. Lecher, as Attorney-in-Fact for
Stuart A. Taylor II |
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1/5/2021 |
**Signature of Reporting
Person |
Date |