0001225208-16-042996.txt : 20161212 0001225208-16-042996.hdr.sgml : 20161212 20161212163315 ACCESSION NUMBER: 0001225208-16-042996 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161209 FILED AS OF DATE: 20161212 DATE AS OF CHANGE: 20161212 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: H&R BLOCK INC CENTRAL INDEX KEY: 0000012659 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PERSONAL SERVICES [7200] IRS NUMBER: 440607856 STATE OF INCORPORATION: MO FISCAL YEAR END: 0430 BUSINESS ADDRESS: STREET 1: ONE H&R BLOCK WAY CITY: KANSAS CITY STATE: MO ZIP: 64105 BUSINESS PHONE: 8168543000 MAIL ADDRESS: STREET 1: ONE H&R BLOCK WAY CITY: KANSAS CITY STATE: MO ZIP: 64105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Macfarlane Gregory J CENTRAL INDEX KEY: 0001393959 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06089 FILM NUMBER: 162046611 MAIL ADDRESS: STREET 1: H&R BLOCK STREET 2: ONE H&R BLOCK WAY CITY: KANSAS CITY STATE: MO ZIP: 64105 4 1 doc4.xml X0306 4 2016-12-09 0000012659 H&R BLOCK INC HRB 0001393959 Macfarlane Gregory J C/O H&R BLOCK ONE H&R BLOCK WAY KANSAS CITY MO 64105 1 SVP, U.S. Retail Prods & Ops Common Stock 2016-12-09 4 F 0 1728.0000 22.9500 D 120259.6060 D Represents shares withheld by the Issuer to satisfy tax withholding obligations related to the vesting of restricted share units ("RSUs") that were granted to the Reporting Person under the H&R Block, Inc. 2013 Long Term Incentive Plan on December 10, 2015. The RSUs vested pursuant to the previously disclosed vesting schedule. Given the Reporting Person's resignation effective December 30, 2016 announced in a Form 8-K filed on December 7, 2016, remaining unvested RSUs will be forfeited. Scott W. Andreasen, per Power of Attorney 2016-12-12