Statement of Changes in Beneficial Ownership (4)
December 08 2021 - 6:35PM
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
*
Bodem Barbara W. |
2. Issuer Name and Ticker or Trading Symbol
Hill-Rom Holdings, Inc.
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HRC
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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) SVP, Chief Financial Officer |
(Last)
(First)
(Middle)
130 EAST RANDOLPH STREET, SUITE 1000 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
12/6/2021 |
(Street)
CHICAGO, IL 60601
(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 | 12/6/2021 | | M | | 992 | A | (1) | 14321 | D | |
Common Stock | 12/6/2021 | | F(2) | | 448 | D | $155.73 | 13873 | D | |
Common Stock | 12/6/2021 | | M | | 2640 | A | (1) | 16513 | D | |
Common Stock | 12/6/2021 | | F(2) | | 1192 | D | $155.73 | 15321 | D | |
Common Stock | 12/6/2021 | | G |
V
| 2000 | D | $0 | 13321 | D | |
Common Stock | | | | | | | | 718.759 (3) | I | By Hill-Rom Holdings, Inc. Employee Stock Purchase Plan |
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 (12/03/2018) LTI | (1) | 12/6/2021 | | M | | | 992 | (4) | (4) | Common Stock | 992 | $0 | 0 | D | |
Restricted Stock Units (12/03/2018) | (1) | 12/6/2021 | | M | | | 2640 | (4) | (4) | Common Stock | 2640 | $0 | 0 | D | |
Explanation of Responses: |
(1) | Restricted stock units ("RSUs") convert into common stock on a one-for-one basis. |
(2) | Reflects the reporting person's payment of minimum statutory tax obligations by withholding shares of Hill-Rom Holdings, Inc. common stock incident to the vesting of RSUs in accordance with Rule 16b-3. |
(3) | Reflects the number of shares held in the Hill-Rom Holdings, Inc. Employee Stock Purchase Plan as of the date of this filing. |
(4) | RSUs were granted on December 3, 2018 and vested 34% on December 4, 2019, 33% on December 4, 2020 and 33% on December 4, 2021. RSUs will automatically be converted into shares of common stock on the date indicated and are entitled to dividend equivalent rights which accrue on dividend record dates. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Bodem Barbara W. 130 EAST RANDOLPH STREET SUITE 1000 CHICAGO, IL 60601 |
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| SVP, Chief Financial Officer |
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Signatures
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/s/ Ari D. Mintzer as Attorney-in-Fact for Barbara W. Bodem | | 12/8/2021 |
**Signature of Reporting Person | Date |
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