-----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, UpxYvRrsEOf36ZdT7HfMswoUKlSU3KgPchNsiRrkH+/4LtXEPXP+deRoSXlDTZXJ YBVRE8KW79Gi6D1tetKS0g== 0001040060-04-000002.txt : 20040123 0001040060-04-000002.hdr.sgml : 20040123 20040123123750 ACCESSION NUMBER: 0001040060-04-000002 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20040123 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 SEC ACT: 1934 Act SEC FILE NUMBER: 005-15779 FILM NUMBER: 04539816 BUSINESS ADDRESS: STREET 1: 1600 ROYAL ST CITY: JASPER STATE: IN ZIP: 47549 BUSINESS PHONE: 8124821600 MAIL ADDRESS: STREET 1: 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 DOUGLAS A CENTRAL INDEX KEY: 0001040060 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: C/O KIMBALL INTERNATIONAL INC STREET 2: 1600 ROYAL ST CITY: JASPER STATE: IN ZIP: 47549 BUSINESS PHONE: 8124821600 MAIL ADDRESS: STREET 1: C/O KIMBALL INTERNATIONAL INC STREET 2: 1600 ROYAL ST CITY: JASPER STATE: IN ZIP: 47549 SC 13G 1 sc13g03ajhdh.htm FORM 13-G Schedule 13G

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

SCHEDULE 13G

Under the Securities Exchange Act of 1934
(Amendment No. 21)*

 

Kimball International, Inc.

(Name of Issuer)
 
 

Class A Common $.05 Par Value

(Title of Class of Securities)
 
 

494274 20 2

(CUSIP Number)
 
 

12-31-03

(Date of Event Which Requires Filing of this Statement)

 

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

[   ] Rule 13d-1(b)
[   ] Rule 13d-1(c)
[X] Rule 13d-1(d)

*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).

CUSIP No. 494274 20 2
    1. Names of Reporting Persons.
I.R.S. Identification Nos. of above persons (entities only).
John B. Habig....................................................................................................................................

2. Check the Appropriate Box if a Member of a Group (See Instructions)


(a) ............................................................................................................................................................


(b) ............................................................................................................................................................

3. SEC Use Only............................................................................................................................................

4. Citizenship or Place of Organization  USA...................................................................................................
Number of
Shares
Beneficially
Owned by
Each Reporting
Person With
5. Sole Voting Power  490,053.........................................................................................................
6. Shared Voting Power  1,938,238..................................................................................................
7. Sole Dispositive Power  490,053...................................................................................................
8. Shared Dispositive Power  1,938,238............................................................................................

9. Aggregate Amount Beneficially Owned by Each Reporting Person  2,428,291............................................

10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)  X......................

11. Percent of Class Represented by Amount in Row (9) 17.7%....................................................................

12. Type of Reporting Person (See Instructions)  IN..........................................................................................

Page 2a of 5

CUSIP No. 494274 20 2
    1. Names of Reporting Persons.
I.R.S. Identification Nos. of above persons (entities only).
Douglas A. Habig .................................................................................................................................

2. Check the Appropriate Box if a Member of a Group (See Instructions)


(a) ............................................................................................................................................................


(b) ............................................................................................................................................................

3. SEC Use Only............................................................................................................................................

4. Citizenship or Place of Organization  USA...................................................................................................
Number of
Shares
Beneficially
Owned by
Each Reporting
Person With
5. Sole Voting Power  668,336..........................................................................................................
6. Shared Voting Power  1,916,323...................................................................................................
7. Sole Dispositive Power  668,336...................................................................................................
8. Shared Dispositive Power  1,916,323.............................................................................................

9. Aggregate Amount Beneficially Owned by Each Reporting Person  2,584,659............................................

10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)  X........................

11. Percent of Class Represented by Amount in Row (9) 18.8%.....................................................................

12. Type of Reporting Person (See Instructions)  IN..........................................................................................

Page 2b of 5

SCHEDULE 13G

CUSIP NO. 494274 20 2

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). Names of Persons Filing this Statement:

John B. Habig
Douglas A. Habig

Item 2(b). Address or Principal Business Office or, if none, Residence:

1600 Royal Street
Jasper, IN 47549

Items 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 A Common Stock, $.05 Par Value

Item 2(e). CUSIP Number:

494274 20 2

Item 3. Not applicable

Page 3 of 5

SCHEDULE 13G

CUSIP NO. 494274 20 2

Item 4. Ownership (See Notes A, B, C, D and E)

  (A) (B) & (C)
Amount Beneficially Owned		   (A) (B) & (C)
Percent of Class		   (i)
(A) (B)
Sole Power to Vote or Direct the Vote		   (ii)
(A) (B) & (C)
Shared Power to Vote or Direct the Vote		   (iii)
(A) (B)
Sole Power to Dispose or Direct the Disposition of		   (iv)
(A) (B) & (C)
Shared Power to Dispose or Direct the Disposition of
 
John B. Habig 2,458,291   17.7%   490,053   1,938,238   490,053   1,938,238
Douglas A. Habig 2,584,659   18.8%   668,336   1,916,323   668,336   1,916,323

Note A. Does not includes shares which may be deemed to be beneficially owned by the reporting persons' wife and, if applicable, minor children, as follows:  134,693 shares as to John B. Habig; and 189,548 shares as to Douglas A. Habig.

Note B. Shares of Class A Common Stock of Kimball International, Inc. which pursuant to charter provisions is convertible into Class B Common Stock on a share-for-share basis at any time.

Note C. Includes shares held in various trusts for which the reporting person, if applicable, serves as a co-trustee and shares held by a charitable foundations for which the reporting person, if applicable, serves as a director.

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. Not applicable.

Item 6. Not applicable.

Item 7. Not applicable.

Item 8. Not applicable.

Item 9. Not applicable.

Item 10. Not applicable.

Page 4 of 5

SCHEDULE 13G

CUSIP NO. 494274 20 2

SIGNATURE

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.

   
   
   
By: /s/ John B. Habig
  JOHN B. HABIG
   
  January 20, 2004

 

   
   
   
By: /s/ Douglas A. Habig
  DOUGLAS A. HABIG
   
  January 20, 2004

Attention: Intentional misstatements or omissions of fact constitute Federal Criminal Violations (See 18 U.S.C. 1001).

Page 5 of 5

 -----END PRIVACY-ENHANCED MESSAGE-----