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
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
Macek Michael S.

(Last) (First) (Middle)
1060 STATE ROUTE 46E

(Street)
BATESVILLE IN 47006

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
07/07/2014
3. Issuer Name and Ticker or Trading Symbol
Hill-Rom Holdings, Inc. [ HRC ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
VP, Treasurer and Interim CFO
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 2,269 D
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
Restricted Stock Units (Deferred Stock Award) 11/13/2012 11/14/2015(1) 11/14/2015 Common Stock 1,232 $0(2) D
Restricted Stock Units (Deferred Stock Award) 11/18/2013 11/19/2016(3) 11/19/2016 Common Stock 3,443 $0(2) D
Stock Option (right to buy) 5/27/2008 05/27/2009(4) 05/27/2018 Common Stock 2,250 $31.35 D
Stock Option (right to buy) 11/16/2010 11/16/2011(4) 11/16/2020 Common Stock 2,872 $38.81 D
Stock Option (right to buy) 11/29/2011 11/29/2012(4) 11/29/2021 Common Stock 4,602 $30.63 D
Stock Option (right to buy) 11/13/2012 11/13/2013(4) 11/13/2022 Common Stock 3,068 $26.94 D
Stock Option (right to buy) 11/18/2013 11/18/2014(4) 11/18/2024 Common Stock 3,468 $41.53 D
Explanation of Responses:
1. Restricted Stock Units vest 100% on 11/14/2015. Stock units will automatically be converted into shares of common stock in accordance with the respective vesting schedule unless a previous deferral election has been made. Stock units are entitled to dividend equivalent rights, which accrue on dividend record dates.
2. Conversion or Exercise Price of Derivative Security is 1-for-1.
3. Restricted Stock Units vest 100% on 11/19/2016. Stock units will automatically be converted into shares of common stock in accordance with the respective vesting schedule unless a previous deferral election has been made. Stock units are entitled to dividend equivalent rights, which accrue on dividend record dates.
4. Options vest in four equal annual installments beginning on the date indicated.
Remarks:
Kevin Warns as attorney-in-fact for Michael S. Macek 07/14/2014
** 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.