FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
Hillenbrand, Inc. [ HI ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 03/31/2008 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction 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 | 328,090(1) | D | ||||||||
Common Stock | 185,254(1) | I | By GRATs(2) | |||||||
Common Stock | 48,394(1) | I | By Spouse's GRAT(2) | |||||||
Common Stock | 71,771(1) | I | By Family LLC(2) | |||||||
Common Stock | 954,520(1) | I | By Trusts(2) | |||||||
Common Stock | 37,407(1) | I | By Trusts for Grandchildren(2) | |||||||
Common Stock | 8,222(1) | I | W August Hillenbrand 2003 Option GRAT(2) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction 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 (Month/Day/Year) | 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: 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 (Deferred Stock Award) 2/13/04 | (3) | 03/31/2008 | A(4) | 1,528 | (5) | (5) | Common Stock | 1,528 | $22.1 | 1,528 | D | ||||
Restricted Stock Units (Deferred Stock Award) 2/11/05 | (3) | 03/31/2008 | A(4) | 1,927 | (5) | (5) | Common Stock | 1,927 | $22.1 | 1,927 | D | ||||
Restricted Stock Units (Deferred Stock Award) 2/13/06 | (3) | 03/31/2008 | A(4) | 1,885 | (5) | (5) | Common Stock | 1,885 | $22.1 | 1,885 | D | ||||
Restricted Stock Units (Deferred Stock Award) 2/9/07 | (3) | 03/31/2008 | A(4) | 1,846 | (5) | (5) | Common Stock | 1,846 | $22.1 | 1,846 | D | ||||
Restricted Stock Units (Deferred Stock Award) 2/11/08 | (3) | 03/31/2008 | A(4) | 1,811 | (5) | (5) | Common Stock | 1,811 | $22.1 | 1,811 | D | ||||
Employee Stock Option (right to buy) | $23.97 | 03/31/2008 | A(4) | 60,000 | 01/18/2000 | 01/18/2009 | Common Stock | 60,000 | $23.97 | 60,000 | D | ||||
Employee Stock Option (right to buy) | $16.69 | 03/31/2008 | A(4) | 60,000 | 01/17/2001 | 01/17/2010 | Common Stock | 60,000 | $16.69 | 60,000 | D | ||||
Director Stock Option (right to buy) | $21.68 | 03/31/2008 | A(4) | 4,000 | 04/11/2002 | 04/11/2011 | Common Stock | 4,000 | $21.68 | 4,000 | D | ||||
Director Stock Option (right to buy) | $28.97 | 03/31/2008 | A(4) | 4,000 | 04/10/2003 | 04/10/2012 | Common Stock | 4,000 | $28.97 | 4,000 | D | ||||
Director Stock Option (right to buy) | $22.3 | 03/30/2008 | A(4) | 4,000 | 02/13/2004 | 02/13/2013 | Common Stock | 4,000 | $22.3 | 4,000 | D |
Explanation of Responses: |
1. On March 31, 2008, Hill-Rom Holdings, Inc. (formerly Hillenbrand Industries, Inc.) distributed all of the shares of common stock of Hillenbrand, Inc. (formerly Batesville Holdings, Inc.) to the shareholders of Hill-Rom Holdings, Inc. in a pro rata distribution. The shares of common stock represent shares received in this distribution. |
2. Reporting person disclaims beneficial ownership of these securities. |
3. Conversion or Exercise Price of Derivative Securities is 1-for-1. |
4. In connection with the distribution described in note (1) above, the reporting person was granted restricted stock awards and stock options in substitution of awards and options previously issued by Hill-Rom. Restricted Stock Units are entitled to dividend equivalent rights which accrue on dividend record dates. |
5. These stock units shall vest on the later of the one year anniversary from the date of grant, or the six-month anniversary of the date that the Director ceases to be a member of the Board of Directors of the Corporation. |
Carol A. Roell As Attorney-In-Fact for W August Hillenbrand | 04/02/2008 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |