-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, BYlLQmOnuCj9Qy93yESw45hDHVFFQlEjFRMDdlQvMN/ttpQDbtpeVtvV7BkGlTtR hZjzFbANSO1LHFiM8DD4PQ== 0000902229-00-000004.txt : 20000203 0000902229-00-000004.hdr.sgml : 20000203 ACCESSION NUMBER: 0000902229-00-000004 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20000131 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: KIMBALL INTERNATIONAL INC CENTRAL INDEX KEY: 0000055772 STANDARD INDUSTRIAL CLASSIFICATION: OFFICE FURNITURE [2520] IRS NUMBER: 350514506 STATE OF INCORPORATION: IN FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: SEC FILE NUMBER: 005-12986 FILM NUMBER: 517117 BUSINESS ADDRESS: STREET 1: 1600 ROYAL ST CITY: JASPER STATE: IN ZIP: 47549 BUSINESS PHONE: 8124821600 MAIL ADDRESS: STREET 1: 1600 ROYAL STREET STREET 2: 1600 ROYAL STREET CITY: JASPER STATE: IN ZIP: 47549 FORMER COMPANY: FORMER CONFORMED NAME: JASPER CORP DATE OF NAME CHANGE: 19740826 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: HABIG THOMAS L CENTRAL INDEX KEY: 0000902229 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 1600 ROYAL ST CITY: JASPER STATE: IN ZIP: 47549 MAIL ADDRESS: STREET 1: 1600 ROYAL ST STREET 2: C/O KIMBALL INTERNATIONAL INC CITY: JASPER STATE: IN ZIP: 47549 SC 13G/A 1 SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 19)* KIMBALL INTERNATIONAL, INC. (Name of Issuer) CLASS B COMMON STOCK $ .05 PAR VALUE (Title of Class of Securities) 494274 10 3 (CUSIP Number) *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). SCHEDULE 13G CUSIP No. 494274 10 3 Page 2a of 6 1 NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Thomas L Habig XXX-XX-XXXX 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) (b) 3 SEC USE ONLY 4 CITIZENSHIP OR PLACE OF ORGANIZATION USA 5 SOLE VOTING POWER NUMBER OF SHARES 38,636 BENEFICIALLY OWNED BY 6 SHARED VOTING POWER EACH 2,643,181 REPORTING PERSON 7 SOLE DISPOSITIVE POWER WITH 38,636 8 SHARED DISPOSITIVE POWER 2,643,181 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 2,681,817 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* (X) 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 9.5% 12 TYPE OF REPORTING PERSON* IN 14 CHECK THE APPROPRIATE BOX TO DESIGNATE THE RULE PURSUANT TO WHICH THIS SCHEDULE IS FILED: X Rule 13d-1(d) *SEE INSTRUCTIONS BEFORE FILLING OUT! SCHEDULE 13G CUSIP No. 494274 10 3 Page 2b of 6 1 NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON John B. Habig XXX-XX-XXXX 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) (b) 3 SEC USE ONLY 4 CITIZENSHIP OR PLACE OF ORGANIZATION USA 5 SOLE VOTING POWER NUMBER OF SHARES 702,057 BENEFICIALLY OWNED BY 6 SHARED VOTING POWER EACH 2,623,367 REPORTING PERSON 7 SOLE DISPOSITIVE POWER WITH 702,057 8 SHARED DISPOSITIVE POWER 2,623,367 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 3,325,424 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* (X) 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 11.6% 12 TYPE OF REPORTING PERSON* IN 14 CHECK THE APPROPRIATE BOX TO DESIGNATE THE RULE PURSUANT TO WHICH THIS SCHEDULE IS FILED: X Rule 13d-1(d) *SEE INSTRUCTIONS BEFORE FILLING OUT! SCHEDULE 13G CUSIP No. 494274 10 3 Page 2c of 6 1 NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Douglas A. Habig XXX-XX-XXXX 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) (b) 3 SEC USE ONLY 4 CITIZENSHIP OR PLACE OF ORGANIZATION USA 5 SOLE VOTING POWER NUMBER OF SHARES 850,616 BENEFICIALLY OWNED BY 6 SHARED VOTING POWER EACH 4,123,919 REPORTING PERSON 7 SOLE DISPOSITIVE POWER WITH 850,616 8 SHARED DISPOSITIVE POWER 4,123,919 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 4,974,535 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* (X) 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 17.3% 12 TYPE OF REPORTING PERSON* IN 14 CHECK THE APPROPRIATE BOX TO DESIGNATE THE RULE PURSUANT TO WHICH THIS SCHEDULE IS FILED: X Rule 13d-1(d) *SEE INSTRUCTIONS BEFORE FILLING OUT! SCHEDULE 13G CUSIP No. 494274 10 3 Page 3 of 6 Item 1(a) Name of Issuer: Kimball International, Inc. Item 1(b) Address of Issuer's Principal Executive Offices: 1600 Royal Street Jasper, IN 47549 Item 2(a) Name of Persons Filing this Statement: Thomas L. Habig John B. Habig Douglas A. Habig Item 2(b) Address or Principal Business Office or, if none, Residence: 1600 Royal Street Jasper, IN 47549 Item 2(c) Citizenship: Each of the persons filing this statement is a citizen of the United States. Item 2(d) Title of Class of Securities: Class B Common Stock, $.05 Par Value Item 2(e) CUSIP Number: 494274 10 3 Item 3 Not Applicable SCHEDULE 13G CUSIP No. 494274 10 3 Page 4 of 6 Item 4 Ownership (See Notes A,B,C,D and E)
(i) (ii) (iii) (iv) (A)(B) (A)(B) (A)(B) &(C) (A)(B) &(C) (A)(B) Sole Shared Sole Shared &(C) (A)(B) Power Power Power to Power to Amount &(C) to Vote to Vote Dispose or Dispose or Benefi- Percent or or Direct the Direct the cially of Direct Direct Disposi- Disposi- Owned Class the Vote the Vote tion of tion of --------- ----- -------- --------- ------- --------- Thomas L. Habig 2,681,817 9.5% 38,636 2,643,181 38,636 2,643,181 John B. Habig 3,325,424 11.6% 702,057 2,623,367 702,057 2,623,637 Douglas A. Habig 4,974,535 17.3% 850,616 4,123,919 850,616 4,123,919 Note A. Includes shares of Class A Common Stock of Kimball International, Inc. which pursuant to charter provision is convertible into Class B Common Stock on a share- for-share basis at any time. Note B. Does not include shares which may be deemed to be beneficially owned by the reporting persons' wife and, if applicable, minor children, as follows: 127,762 shares as to Thomas L. Habig; 168,409 shares as to John B. Habig; and 437,361 shares to Douglas A. Habig. Note C. Includes shares held in various trusts for which the reporting person, if applicable, serves as a co-trustee, member of Advisory Committee of the Employee retirement Plan, and shares held by charitable foundations(s) for which the reporting person serves as a director. (See note in Item 6.) Note D. The persons filing this statement disclaim that they or any two of them constitute a group within the meaning of Rule 13d-5(b)(1). Note E. Each of the reporting persons disclaims beneficial ownership of any shares listed above of which we would not, but for Rule 13d-3 under the Securities Exchange Act of 1934, be deemed to be the beneficial owner.
Item 5. Amendment does not include stock ownership information concerning Arnold F. Habig, who died on 3-29-99. The Arnold F. Habig Trusts do not own 5% or more of the Class B Common Stock. Item 6. Ownership of more than five percent on behalf of another person. See Note C to Item 4 above. The retirement plan referred to therein include as to Douglas A. Habig, an Employee retirement trust of Kimball International owning in the aggregate 1,544,592 shares. The other trusts referred to in that Note are for the benefit of the Arnold F. Habig Estate and for the benefit of an adult sister. Also included in the totals are shareholdings of two charitable foundations. Item 7. Not Applicable Item 8. Not Applicable Item 9. Not Applicable Item 10. Not Applicable SCHEDULE 13G SIGNATURE CUSIP No. 494274 10 3 Page 5 of 6 After reasonable inquiry, and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. January 28, 2000 Thomas L. Habig THOMAS L. HABIG Exhibits Attached hereto as Exhibit A are agreements from each of the persons filing this statement, other than the above signature, that this statement is filed on behalf of each of them. Attention: Intentional mis-statements or omissions of fact constitute Federal Criminal Violations (See 18 U.S.C. 1001). Exhibit A SIGNATURE CUSIP No. 494274 10 3 Page 6 of 6 After reasonable inquiry, and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. The undersigned hereby agree that Schedule 13G, to which this instrument is an exhibit, is filed on behalf of each of the undersigned. January 28, 2000 John B. Habig JOHN B. HABIG January 28, 2000 Douglas A. Habig DOUGLAS A. HABIG
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