0001214659-16-014726.txt : 20161115 0001214659-16-014726.hdr.sgml : 20161115 20161115160745 ACCESSION NUMBER: 0001214659-16-014726 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161001 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: Richardson Jason CENTRAL INDEX KEY: 0001669565 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-06651 FILM NUMBER: 161999771 MAIL ADDRESS: STREET 1: TWO PRUDENTIAL PLAZA STREET 2: SUITE 4100 CITY: CHICAGO STATE: IL ZIP: 60601 4/A 1 marketforms-36950.xml PRIMARY DOCUMENT X0306 4/A 2016-10-01 2016-10-04 0000047518 Hill-Rom Holdings, Inc. HRC 0001669565 Richardson Jason 180 N. STETSON AVE., SUITE 4100 CHICAGO IL 60601 false true false false VP and Corporate Controller Common Stock 2016-10-01 4 M false 1007 0 A 1485 D Common Stock 2016-10-01 4 F false 310 61.58 D 1175 D Performance Share Units (11/18/2013) 61.58 2016-10-01 4 M false 1007 0 A 2016-10-01 2016-10-01 Common Stock 1007 0 D The shares of common stock were issued upon previously awarded performance-based stock. The performance-based stock did not constitute derivative securities and therefore was not reported when awarded. This amendment is filed solely to notate the correct number of shares forfeited to satisfy the filer's state income tax liability. /s/ Ari Mintzer as Attorney-in-Fact for Jason Richardson 2016-11-15