SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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*
Champa Kenneth M

(Last) (First) (Middle)
1201 SOUTH SECOND STREET

(Street)
MILWAUKEE WI 53204

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
07/01/2016
3. Issuer Name and Ticker or Trading Symbol
ROCKWELL AUTOMATION INC [ ROK ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Senior Vice President
5. If Amendment, Date of Original Filed (Month/Day/Year)
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 Beneficially Owned
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 3,198(1) D
Common Stock 199.7815 I By Savings Plan
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: 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
Common Stock Share Equivalents (3) (3) Common Stock 46.8087 (2) I Non Qualified Savings Plan
Employee Stock Option (Right to Buy) 12/03/2009(4) 12/03/2018 Common Stock 5,300 $29.37 D
Employee Stock Option (Right to Buy) 12/09/2010(4) 12/09/2019 Common Stock 6,700 $46.16 D
Employee Stock Option (Right to Buy) 12/07/2011(4) 12/07/2020 Common Stock 4,500 $69.57 D
Employee Stock Option (Right to Buy) 12/01/2012(4) 12/01/2021 Common Stock 3,400 $74.14 D
Employee Stock Option (Right to Buy) 12/06/2013(4) 12/06/2022 Common Stock 2,700 $80.11 D
Employee Stock Option (Right to Buy) 12/04/2014(4) 12/04/2023 Common Stock 2,000 $108.89 D
Employee Stock Option (Right to Buy) 12/02/2015(4) 12/02/2024 Common Stock 2,600 $115.69 D
Employee Stock Option (Right to Buy) 04/09/2016(4) 04/09/2025 Common Stock 2,500 $111.7 D
Employee Stock Option (Right to Buy) 12/03/2016(4) 12/03/2025 Common Stock 1,500 $104.08 D
Explanation of Responses:
1. Includes 420 shares held by the Company to implement restrictions on transfer unless and until certain conditions are met.
2. Each unit is the economic equivalent of one share of Company common stock.
3. The share equivalents are payable in cash upon retirement or after termination of employment.
4. The option vests in three substantially equal annual installments beginning on the date exercisable.
Karen A Balistreri, Attorney-in-fact for Kenneth M. Champa 07/05/2016
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.