0001214659-16-014727.txt : 20161115 0001214659-16-014727.hdr.sgml : 20161115 20161115160846 ACCESSION NUMBER: 0001214659-16-014727 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: Keller Richard G CENTRAL INDEX KEY: 0001335813 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06651 FILM NUMBER: 161999785 MAIL ADDRESS: STREET 1: 700 STATE ROUTE 46E CITY: BATESVILLE STATE: IN ZIP: 47006 5 1 marketforms-36951.xml PRIMARY DOCUMENT X0306 5 2016-09-30 true 0 1 0000047518 Hill-Rom Holdings, Inc. HRC 0001335813 Keller Richard G 180 N. STETSON AVE., SUITE 4100 CHICAGO IL 60601 false true false false Corporate Controller Common Stock 2015-11-16 4 M false L 1614 A 7966 D Common Stock 2015-11-16 4 F false L 522 51.33 D 7444 D Restricted Stock Units (11/13/2012) 2015-11-16 4 M false L 1614 0 D Common Stock 1614 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 1,614 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 Richard Keller 2016-11-15