Statement of Changes in Beneficial Ownership (4)
January 05 2021 - 04:20PM
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 * Whitted J Michael |
2. Issuer Name and Ticker or Trading
Symbol Hillenbrand, Inc. [ HI ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)_____
Director _____
10% Owner
__X__ Officer (give title
below) _____ Other
(specify below)
Sr. VP Strategy & Corp Dev |
(Last)
(First)
(Middle)
ONE BATESVILLE BOULEVARD |
3. Date of Earliest Transaction (MM/DD/YYYY)
12/31/2020
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(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
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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 |
Common Stock |
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|
|
|
|
|
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13423 |
D |
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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
6/18/18) |
(1) |
12/31/2020 |
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A (2) |
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20 |
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(3) |
(3) |
Common Stock |
20 |
$0 |
3835 |
D |
|
Restricted Stock Units (Deferred Stock Award
12/3/20) |
(1) |
12/31/2020 |
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A (2) |
|
32 |
|
(4) |
(4) |
Common Stock |
32 |
$0 |
6116 |
D |
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RESTRICTED STOCK UNITS CUMULATIVE
TOTAL |
(1) |
|
|
|
|
|
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(3)(4) |
(3)(4) |
Common Stock |
52 (5) |
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9951 (5) |
D |
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Explanation of
Responses: |
(1) |
Conversion or Exercise Price
of Derivative Securities is 1-for-1. |
(2) |
Restricted Stock Units are
entitled to dividend rights which accrue on dividend record
dates. |
(3) |
The remaining Restricted
Stock Units vest at approximately 50% on each of 6/18/20 and
6/18/21. |
(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
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
Whitted J Michael
ONE BATESVILLE BOULEVARD
BATESVILLE, IN 47006 |
|
|
Sr. VP Strategy & Corp Dev |
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Signatures
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/s/ Patricia C. Lecher as Attorney-in-Fact for J.
Michael Whitted |
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1/5/2021 |
**Signature of Reporting
Person |
Date |