0001214659-16-014718.txt : 20161115
0001214659-16-014718.hdr.sgml : 20161115
20161115160432
ACCESSION NUMBER: 0001214659-16-014718
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160930
FILED AS OF DATE: 20161115
DATE AS OF CHANGE: 20161115
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Hill-Rom Holdings, Inc.
CENTRAL INDEX KEY: 0000047518
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 351160484
STATE OF INCORPORATION: IN
FISCAL YEAR END: 0930
BUSINESS ADDRESS:
STREET 1: 1069 STATE ROUTE 46 EAST
CITY: BATESVILLE
STATE: IN
ZIP: 47006-8835
BUSINESS PHONE: 8129347777
MAIL ADDRESS:
STREET 1: 1069 STATE ROUTE 46 EAST
CITY: BATESVILLE
STATE: IN
ZIP: 47006-8835
FORMER COMPANY:
FORMER CONFORMED NAME: HILLENBRAND INDUSTRIES INC
DATE OF NAME CHANGE: 19920703
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LICHTENSTEIN SUSAN R
CENTRAL INDEX KEY: 0001142012
STANDARD INDUSTRIAL CLASSIFICATION: TELEPHONE & TELEGRAPH APPARATUS [3661]
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0101
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-06651
FILM NUMBER: 161999710
MAIL ADDRESS:
STREET 1: ONE BAXTER PARKWAY
STREET 2: DF2-2W
CITY: DEERFIELD
STATE: IL
ZIP: 60015
5
1
marketforms-36945.xml
PRIMARY DOCUMENT
X0306
5
2016-09-30
true
0
1
0000047518
Hill-Rom Holdings, Inc.
HRC
0001142012
LICHTENSTEIN SUSAN R
180 N. STETSON AVE.,
SUITE 4100
CHICAGO
IL
60601
false
true
false
false
Chief Legal Officer
Common Stock
2015-11-16
4
M
false
L
7541
A
30654
D
Common Stock
2015-11-16
4
F
false
L
3447
51.33
D
27217
D
Restricted Stock Units (11/13/2012)
2015-11-16
4
M
false
L
7541
0
D
Common Stock
7541
0
D
Restricted stock units convert into common stock on a one-for-one basis.
This total reflects ownership as of 9/30/2016; total shares beneficially owned as reported in interim reports since 11/16/2015, if any, are deemed amended to reflect the previously unreported transaction identified in note (3) below.
On 11/13/2012, the reporting person was granted 7,541 restricted stock units. Restricted stock units vested 100% on 11/16/2015. Restricted stock units are automatically converted into shares of common stock in accordance with the respective vesting schedule unless a pervious deferral election has been made. Restricted stock units are entitled to dividend equivalent rights, which accrue on dividend record dates.
/s/ Ari Mintzer as Attorney-in-Fact for Susan Lichtenstein
2016-11-15