-----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, NsdY3oBnRnJxnItsP5QbE45prcbzGzym8xMahksrtsR6iJtWjV6GA5/kSbApwaOj UYOJ+Odwv2fDdwHwqNonSw== 0001040060-05-000002.txt : 20050125 0001040060-05-000002.hdr.sgml : 20050125 20050125084325 ACCESSION NUMBER: 0001040060-05-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050121 FILED AS OF DATE: 20050125 DATE AS OF CHANGE: 20050125 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HABIG DOUGLAS A CENTRAL INDEX KEY: 0001040060 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-03279 FILM NUMBER: 05545869 BUSINESS ADDRESS: BUSINESS PHONE: 8124821600 MAIL ADDRESS: STREET 1: C/O KIMBALL INTERNATIONAL INC STREET 2: 1600 ROYAL ST CITY: JASPER STATE: IN ZIP: 47549 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 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2005-01-21 0000055772 KIMBALL INTERNATIONAL INC KBALB 0001040060 HABIG DOUGLAS A 1600 ROYAL STREET JASPER IN 47549 1 1 0 0 Chairman CLASS B COMMON STOCK 168681 D CLASS B COMMON STOCK 19560 I WIFE CLASS B COMMON STOCK 256 I FAMILY TRUST CLASS B COMMON STOCK 182 I DA HABIG TRUST CLASS B COMMON STOCK 18797 I CHILD CLASS A COMMON STOCK CLASS B COMMON 668336 D CLASS A COMMON STOCK CLASS B COMMON 77551 I WIFE CLASS A COMMON STOCK CLASS B COMMON 113510 I CHILD CLASS A COMMON STOCK CLASS B COMMON 123878 I DA HABIG TRUST CLASS A COMMON STOCK CLASS B COMMON 444896 I FAMILY TRUST RESTRICTED STOCK UNIT 2005-01-21 4 A 0 47400 A 2010-01-21 2010-01-21 CLASS A COMMON 47400 47400 D Beneficial Ownership disclaimed. Class A Common Stock is convertible to Class B Common Stock on a one-for-one share basis. Not applicable. The Restricted Stock Unit converts on a one-for-one basis into shares of Class A Common Stock. The Restricted Stock Unit expires if the reporting person ceases employment for any reason other than death, retirement or permanent disability. Douglas A. Habig 2005-01-24 -----END PRIVACY-ENHANCED MESSAGE-----