-----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, UeeQmG05/MzZFQOJhheeNeeuepRrTYFB7Jw1Zo5n3CljvauUFDP4UPlUUKuZsmGg CM+qYIBVNlLcpQl39dNZHg== 0001201690-05-000001.txt : 20050125 0001201690-05-000001.hdr.sgml : 20050125 20050125092159 ACCESSION NUMBER: 0001201690-05-000001 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: ELLIOTT JOHN BRENT CENTRAL INDEX KEY: 0001201690 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-03279 FILM NUMBER: 05545948 MAIL ADDRESS: STREET 1: 1600 ROYAL STREET 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 0001201690 ELLIOTT JOHN BRENT 1600 ROYAL STREET JASPER IN 47549 0 1 0 0 EXECUTIVE VICE PRESDIENT CLASS B COMMON STOCK 20786 D CLASS A COMMON CLASS B COMMON 5802 D RESTRICTED STOCK UNIT 2005-01-21 4 A 0 13400 A 2010-01-21 2010-01-21 CLASS A COMMON 13400 13400 D 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. JOHN BRENT ELLIOTT 2005-01-24 -----END PRIVACY-ENHANCED MESSAGE-----