Initial Statement of Beneficial Ownership (3)
April 23 2021 - 6:06PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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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
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Mohr Cheryl A. |
2. Date of Event Requiring Statement (MM/DD/YYYY)
4/15/2021
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3. Issuer Name and Ticker or Trading Symbol
HP INC [HPQ]
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(Last)
(First)
(Middle)
C/O HP INC, 1501 PAGE MILL ROAD |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director _____ 10% Owner ___X___ Officer (give title below) _____ Other (specify below) Acting Chief HR Officer / |
(Street)
PALO ALTO, CA 94304
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 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 Beneficially Owned
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1.Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 135297.922 | 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. 4) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Employee Stock Option (right to buy) | 12/11/2014 (1) | 12/10/2021 (1) | Common Stock | 64859.00 (1) | $12.49 (1) | D | |
Employee Stock Option (right to buy) | 12/10/2015 (2) | 12/9/2022 (2) | Common Stock | 45401.00 (2) | $17.29 (2) | D | |
Employee Stock Option (right to buy) | 11/2/2016 (3) | 11/1/2023 (3) | Common Stock | 37965.00 (3) | $13.83 (3) | D | |
Restricted Stock Units | (4) | (4) | Common Stock | 16354.00 (4) | $0.00 | D | |
Restricted Stock Units | (5) | (5) | Common Stock | 4254.00 (5) | $0.00 | D | |
Restricted Stock Units | (6) | (6) | Common Stock | 18293.00 (6) | $0.00 | D | |
Restricted Stock Units | (7) | (7) | Common Stock | 15836.00 (7) | $0.00 | D | |
Explanation of Responses: |
(1) | On 12/11/2013, the reporting person was granted 64,859 options, all of which have vested, and 30,000 of which have been exercised. |
(2) | On 12/10/2014, the reporting person was granted 45,401 options, all of which have vested. |
(3) | On 11/02/2015, the reporting person was granted 37,965 options, all of which have vested. |
(4) | On 12/7/2018, the reporting person was granted 16,354 restricted stock units ("RSUs"), 5,451 of which vested on 12/7/2019 and 12/7/2020 and 5,452 of which are scheduled to vest on 12/7/2021. Dividend equivalent rights accrue with respect to these RSUs when and as dividends are paid on HP common stock. |
(5) | On 10/28/2019, the reporting person was granted 4,254 RSUs, 1,418 of which vested on 10/28/2020 and 1,418 of which are scheduled to vest on each of 10/28/2021 and 10/28/2022. Dividend equivalent rights accrue with respect to these RSUs when and as dividends are paid on HP common stock. |
(6) | On 12/6/2019, the reporting person was granted 18,293 RSUs, 6,097 of which vested on 12/7/2020 and 6,098 of which are scheduled to vest on each of 12/7/2021 and 12/07/2022. Dividend equivalent rights accrue with respect to these RSUs when and as dividends are paid on HP common stock. |
(7) | On 12/7/2020, the reporting person was granted 15,836 RSUs, one-third of which vest annually over three years on each of 12/7/2021, 12/7/2022 and 12/7/2023. Dividend equivalent rights accrue with respect to these RSUs when and as dividends are paid on HP common stock. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Mohr Cheryl A. C/O HP INC 1501 PAGE MILL ROAD PALO ALTO, CA 94304 |
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| Acting Chief HR Officer |
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Signatures
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/s/ Rick Hansen, Attorney-in-Fact for Cheryl Mohr | | 4/23/2021 |
**Signature of Reporting Person | Date |
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