Statement of Changes in Beneficial Ownership (4)
August 04 2020 - 5:22PM
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
*
SMITH KOURTNEY L |
2. Issuer Name and Ticker or Trading Symbol
KIMBALL INTERNATIONAL INC
[
KBAL
]
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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) EVP; PRESIDENT WORKPLACE |
(Last)
(First)
(Middle)
1600 ROYAL STREET |
3. Date of Earliest Transaction
(MM/DD/YYYY)
7/31/2020 |
(Street)
JASPER, IN 47546-2256
(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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CLASS B COMMON STOCK | | | | | | | | 70017 | 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 | (1) | 7/31/2020 | | A | | 12066 | | (2) | (3) | CLASS B COMMON STOCK | 12066.0 | $0 (4) | 30189 (5) | D | |
Explanation of Responses: |
(1) | The Restricted Stock Units convert on a one-for-one basis into shares of Class B Common Stock. |
(2) | Represents Restricted Stock Units granted on 7/31/20 and vest on 6/30/23 (12,066 shares). |
(3) | Expiration of Restricted Stock Units is dependent upon the terms of the employment agreement if the reporting person ceases employment for any reason other than death, retirement or total permanent disability. |
(4) | Not Applicable. |
(5) | Represents Restricted Stock Units which vest on 6/30/21 (8,805 shares), 6/30/22 (9,318 shares) and 6/30/23 (12,066 shares). |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
SMITH KOURTNEY L 1600 ROYAL STREET JASPER, IN 47546-2256 |
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| EVP; PRESIDENT WORKPLACE |
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Signatures
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James M. Krodel, Attorney-in-Fact and Agent | | 8/4/2020 |
**Signature of Reporting Person | Date |
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