| 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
Hill-Rom Holdings, Inc. [ HRC ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 12/13/2021 | ||||||||||||||||||||||||||
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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 | 0 | D | ||||||||
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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 (03/11/2013) | (1) | 12/13/2021 | D | 4,567 | (2) | (2) | Common Stock | 4,567 | (2) | 0 | D | ||||
| Restricted Stock Units (03/07/2014) | (1) | 12/13/2021 | D | 4,262 | (2) | (2) | Common Stock | 4,262 | (2) | 0 | D | ||||
| Restricted Stock Units (03/05/2015) | (1) | 12/13/2021 | D | 3,339 | (2) | (2) | Common Stock | 3,339 | (2) | 0 | D | ||||
| Restricted Stock Units (03/16/2016) | (1) | 12/13/2021 | D | 3,385 | (2) | (2) | Common Stock | 3,385 | (2) | 0 | D | ||||
| Restricted Stock Units (09/19/2016) | (1) | 12/13/2021 | D | 176 | (2) | (2) | Common Stock | 176 | (2) | 0 | D | ||||
| Restricted Stock Units (03/14/2017) | (1) | 12/13/2021 | D | 2,762 | (2) | (2) | Common Stock | 2,762 | (2) | 0 | D | ||||
| Restricted Stock Units (03/07/2018) | (1) | 12/13/2021 | D | 2,184 | (2) | (2) | Common Stock | 2,184 | (2) | 0 | D | ||||
| Restricted Stock Units (03/06/2019) | (1) | 12/13/2021 | D | 1,762 | (2) | (2) | Common Stock | 1,762 | (2) | 0 | D | ||||
| Restricted Stock Units (02/26/2020) | (1) | 12/13/2021 | D | 1,870 | (2) | (2) | Common Stock | 1,870 | (2) | 0 | D | ||||
| Restricted Stock Units (03/11/2021) | (1) | 12/13/2021 | D | 1,798 | (2) | (2) | Common Stock | 1,798 | (2) | 0 | D | ||||
| Explanation of Responses: |
| 1. Each restricted stock unit represents a contingent right to receive one share of Hill-Rom Holdings, Inc. common stock. |
| 2. Pursuant to the Merger Agreement between Hill-Rom Holdings, Inc., Baxter International Inc. ("Baxter"), and a wholly-owned subsidiary of Baxter, these restricted stock units, which provided for vesting on the date of grant, with delivery of the underlying shares of common stock not occurring until the later of one year and a day 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 Hill-Rom Holdings, Inc., were cancelled in exchange for a cash payment of $156.00 per share of underlying common stock. |
| Remarks: |
| /s/ Ari Mintzer as Attorney-in-Fact for William H. Kucheman | 12/15/2021 | |
| ** 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. | ||