-----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, HMvU9jKgmZa6SAxZTK5CcAeC6ImbGRCA/GKcyuFWmHnLGzVT17BoYSTdL5kiFhWt Z71u6FrU5MIaLzG2yB8naQ== 0001040054-04-000002.txt : 20041021 0001040054-04-000002.hdr.sgml : 20041021 20041021153107 ACCESSION NUMBER: 0001040054-04-000002 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041019 FILED AS OF DATE: 20041021 DATE AS OF CHANGE: 20041021 ISSUER: 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 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CRITSER GARY P CENTRAL INDEX KEY: 0001040054 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-03279 FILM NUMBER: 041089628 BUSINESS ADDRESS: STREET 1: 1600 ROYAL ST CITY: JASPER STATE: IN ZIP: 47549 BUSINESS PHONE: 8124821600 MAIL ADDRESS: STREET 1: 1600 ROYAL ST CITY: JASPER STATE: IN ZIP: 47549 3 1 edgar.xml PRIMARY DOCUMENT X0202 3 2004-10-19 0 0000055772 KIMBALL INTERNATIONAL INC KBALB 0001040054 CRITSER GARY P 1600 ROYAL STREET JASPER IN 47549 1 0 0 0 CLASS B COMMON 2177 D CLASS B COMMON 500 I FAMILY FOUNDATION CLASS B COMMON 11008 I WIFE's TRUST CLASS B COMMON 1510 I WIFE's IRA CLASS B COMMON 8550 I FAMILY TRUST CLASS B COMMON 8540 I FAMILY TRUST CLASS B COMMON 8500 I FAMILY TRUST CLASS A COMMON CLASS B COMMON 2700 D Beneficial ownership disclaimed. Not applicable. Class A Common Stock is convertible to Class B Common Stock on a one-for-one share basis. GARY P. CRITSER 2004-10-20 -----END PRIVACY-ENHANCED MESSAGE-----