-----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, QKC/3TlgR6NhzBHB8D6pZFV46Pn6w/h7MVjRW3oYtH8TExDIbbxixvngtMaYzUuU PAniZtdr47EizI+DuhrUNg== 0001047391-98-000001.txt : 19980107 0001047391-98-000001.hdr.sgml : 19980107 ACCESSION NUMBER: 0001047391-98-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19971231 FILED AS OF DATE: 19980106 SROS: NASD 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: 4 SEC ACT: SEC FILE NUMBER: 000-03279 FILM NUMBER: 98501281 BUSINESS ADDRESS: STREET 1: 1600 ROYAL ST CITY: JASPER STATE: IN ZIP: 47549 BUSINESS PHONE: 8124821600 MAIL ADDRESS: STREET 1: 1600 ROYAL STREET STREET 2: 1600 ROYAL STREET CITY: JASPER STATE: IN ZIP: 47549 FORMER COMPANY: FORMER CONFORMED NAME: JASPER CORP DATE OF NAME CHANGE: 19740826 COMPANY DATA: COMPANY CONFORMED NAME: TEMPLIN ROY W CENTRAL INDEX KEY: 0001047391 STANDARD INDUSTRIAL CLASSIFICATION: [] OFFICER FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 1600 ROYAL STREET CITY: JASPER STATE: IN ZIP: 47549 MAIL ADDRESS: STREET 2: 1600 ROYAL STREET CITY: JASPER STATE: IN ZIP: 47549 4 1 FORM 4 - 12/31/97 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 4 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP ( ) Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instructions 1(b). 1. Name and Address of Reporting Person TEMPLIN, ROY W 1600 ROYAL STREET JASPER, IN 47549 USA 2. Issuer Name and Ticker or Trading Symbol KIMBALL INTERNATIONAL, INC. KBALB 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Statement for Month/Year 12/31/97 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) ( ) Director ( ) 10% Owner (X) Officer (give title below) ( ) Other (specify below) CORPORATE CONTROLLER 7. Individual or Joint/Group Filing (Check Applicable Line) (X) Form filed by One Reporting Person ( ) Form filed by More than One Reporting Person
___________________________________________________________________________________________________________________________________ Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1. Title of Security |2. |3. |4.Securities Acquired (A) |5.Amount of |6.Dir |7.Nature of Indirect | | Transaction | or Disposed of (D) | Securities |ect | Beneficial Ownership | | | | | Beneficially |(D)or | | | | | | | A/| | Owned at |Indir | | | Date |Code|V| Amount | D | Price | End of Month |ect(I)| | ___________________________________________________________________________________________________________________________________| Class B Common Stock | | |V| | | |412 (1) |D | | - -----------------------------------------------------------------------------------------------------------------------------------| " | | |V| | | |520 (1) |D | | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________ Table II -- Derivative Securitites Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1.Title of Derivative |2.Con- |3. |4. |5.Number of De |6.Date Exer|7.Title and Amount |8.Price|9.Number |10.|11.Nature of| Security |version |Transaction | rivative Secu |cisable and| of Underlying |of Deri|of Deriva |Dir|Indirect | |or Exer | | | rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial | |cise | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership | |Price of| | | posed of(D) |Day/Year) | |rity |Benefi |or | | |Deriva- | | | |Date |Expir| | |ficially |Ind| | |tive | | | | A/|Exer-|ation| Title and Number | |Owned at |ire| | |Secu- | | | | | D |cisa-|Date | of Shares | |End of |ct | | |rity |Date |Code|V| Amount | |ble | | | |Month |(I)| | ___________________________________________________________________________________________________________________________________| Employee Stock Option |$14.80 (| | |V| | |8/27/|8/26/|Class B Comm|600 (2)| |600 (2) |D | | (Right to Buy) |2) | | | | | |95 |98 |on | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| " |$12.22 (| | |V| | |8/25/|8/24/|" |2,588 (| |2,588 (2) |D | | |2) | | | | | |96 |99 | |2) | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| " |$12.77 (| | |V| | |8/23/|8/22/|" |3,000 (| |3,000 (2) |D | | |2) | | | | | |97 |00 | |2) | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| " |$13.77 (| | |V| | |7/18/|7/17/|" |3,000 (| |3,000 (2) |D | | |2) | | | | | |98 |01 | |2) | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| " |$21.825 | | |V| | |(3) |8/24/|" |7,000 (| |7,000 (2) |D | | |(2) | | | | | | |02 | |2) | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | | | | | | | | | | | ___________________________________________________________________________________________________________________________________|
Explanation of Responses: (1) On 11/12/97, the Class B Common Stock of Kimball International split 2-for-1, resulting in the reporting person's direct share ownership to double. (2) This option was previously reported as covering half the number of shares at twice the pricer per share, but was adjusted to reflect a 2-for-1 stock split on 11/12/97. (3) 2,688 shares exercisable on 12/15/98; 4,312 shares exercisable on 8/15/99. -----END PRIVACY-ENHANCED MESSAGE-----