Statement of Changes in Beneficial Ownership (4)
09 Dezember 2021 - 12:35AM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL
OWNERSHIP OF SECURITIES
|
OMB
APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response... 0.5 |
|
Filed pursuant to Section 16(a) of the
Securities Exchange Act of 1934 or Section 30(h) of the Investment
Company Act of 1940
|
|
1. Name
and Address of Reporting Person * Bodem Barbara
W. |
2. Issuer Name and Ticker or Trading
Symbol Hill-Rom Holdings, Inc. [ HRC ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)_____
Director _____
10% Owner
__X__ Officer (give title
below) _____ Other
(specify below)
SVP, Chief Financial Officer |
(Last)
(First)
(Middle)
130 EAST RANDOLPH STREET, SUITE 1000 |
3. Date of Earliest Transaction (MM/DD/YYYY)
12/6/2021
|
(Street)
CHICAGO, IL 60601
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
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 Acquired, Disposed of, or
Beneficially Owned
|
1.Title of Security
(Instr. 3) |
2. Trans. Date |
2A. Deemed Execution Date, if any |
3. Trans. Code
(Instr. 8) |
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) |
5. Amount of Securities Beneficially Owned Following
Reported Transaction(s)
(Instr. 3 and 4) |
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4) |
7. Nature of Indirect Beneficial Ownership (Instr.
4) |
Code |
V |
Amount |
(A) or (D) |
Price |
Common Stock |
12/6/2021 |
|
M |
|
992 |
A |
(1) |
14321 |
D |
|
Common Stock |
12/6/2021 |
|
F(2) |
|
448 |
D |
$155.73 |
13873 |
D |
|
Common Stock |
12/6/2021 |
|
M |
|
2640 |
A |
(1) |
16513 |
D |
|
Common Stock |
12/6/2021 |
|
F(2) |
|
1192 |
D |
$155.73 |
15321 |
D |
|
Common Stock |
12/6/2021 |
|
G |
V |
2000 |
D |
$0 |
13321 |
D |
|
Common Stock |
|
|
|
|
|
|
|
718.759 (3) |
I |
By Hill-Rom Holdings, Inc. Employee Stock
Purchase Plan |
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible
securities)
|
1. Title of Derivate Security
(Instr. 3) |
2. Conversion or Exercise Price of Derivative
Security |
3. Trans. Date |
3A. Deemed Execution Date, if any |
4. Trans. Code
(Instr. 8) |
5. Number of Derivative Securities Acquired (A) or
Disposed of (D)
(Instr. 3, 4 and 5) |
6. Date Exercisable and Expiration Date |
7. Title and Amount of Securities Underlying
Derivative Security
(Instr. 3 and 4) |
8. Price of Derivative Security
(Instr. 5) |
9. Number of derivative Securities Beneficially
Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct
(D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr.
4) |
Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Restricted Stock Units (12/03/2018)
LTI |
(1) |
12/6/2021 |
|
M |
|
|
992 |
(4) |
(4) |
Common Stock |
992 |
$0 |
0 |
D |
|
Restricted Stock Units
(12/03/2018) |
(1) |
12/6/2021 |
|
M |
|
|
2640 |
(4) |
(4) |
Common Stock |
2640 |
$0 |
0 |
D |
|
Explanation of
Responses: |
(1) |
Restricted stock units
("RSUs") convert into common stock on a one-for-one
basis. |
(2) |
Reflects the reporting
person's payment of minimum statutory tax obligations by
withholding shares of Hill-Rom Holdings, Inc. common stock incident
to the vesting of RSUs in accordance with Rule 16b-3. |
(3) |
Reflects the number of
shares held in the Hill-Rom Holdings, Inc. Employee Stock Purchase
Plan as of the date of this filing. |
(4) |
RSUs were granted on
December 3, 2018 and vested 34% on December 4, 2019, 33% on
December 4, 2020 and 33% on December 4, 2021. RSUs will
automatically be converted into shares of common stock on the date
indicated and are entitled to dividend equivalent rights which
accrue on dividend record dates. |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
Bodem Barbara W.
130 EAST RANDOLPH STREET
SUITE 1000
CHICAGO, IL 60601 |
|
|
SVP, Chief Financial Officer |
|
Signatures
|
/s/ Ari D. Mintzer as Attorney-in-Fact for
Barbara W. Bodem |
|
12/8/2021 |
**Signature
of Reporting Person |
Date |
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