SEC Form 4
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
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
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*
TAYLOR STUART A II

(Last) (First) (Middle)
ONE BATESVILLE BOULEVARD

(Street)
BATESVILLE IN 47006

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Hillenbrand, Inc. [ HI ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
09/30/2021
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. 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 (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
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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 (Deferred Stock Award) 2/11/09 (1) 09/30/2021 A(2) 34 (3) (3) Common Stock 34 $0 6,882 D
Restricted Stock Units (Deferred Stock Award) 2/24/10 (1) 09/30/2021 A(2) 30 (3) (3) Common Stock 30 $0 6,164 D
Restricted Stock Units (Deferred Stock Award) 2/23/11 (1) 09/30/2021 A(2) 27 (3) (3) Common Stock 27 $0 5,539 D
Restricted Stock Units (Deferred Stock Award) 2/22/12 (1) 09/30/2021 A(2) 26 (3) (3) Common Stock 26 $0 5,267 D
Restricted Stock Units (Deferred Stock Award) 2/27/13 (1) 09/30/2021 A(2) 23 (3) (3) Common Stock 23 $0 4,812 D
Restricted Stock Units (Deferred Stock Award) 2/26/14 (1) 09/30/2021 A(2) 18 (3) (3) Common Stock 18 $0 3,803 D
Restricted Stock Units (Deferred Stock Award) 2/25/15 (1) 09/30/2021 A(2) 18 (3) (3) Common Stock 18 $0 3,750 D
Restricted Stock Units (Deferred Stock Award) 2/24/16 (1) 09/30/2021 A(2) 21 (3) (3) Common Stock 21 $0 4,267 D
Restricted Stock Units (Deferred Stock Award) 2/22/17 (1) 09/30/2021 A(2) 15 (3) (3) Common Stock 15 $0 3,016 D
Restricted Stock Units (Deferred Stock Award) 2/15/18 (1) 09/30/2021 A(2) 13 (3) (3) Common Stock 13 $0 2,665 D
Restricted Stock Units (Deferred Stock Award) 2/14/19 (1) 09/30/2021 A(2) 13 (3) (3) Common Stock 13 $0 2,674 D
Restricted Stock Units (Deferred Stock Award) 2/13/20 (1) 09/30/2021 A(2) 20 (3) (3) Common Stock 20 $0 3,996 D
Restricted Stock Units (Deferred Stock Award) 2/11/21 (1) 09/30/2021 A(2) 14 (4) (4) Common Stock 14 $0 2,817 D
RESTRICTED STOCK UNITS CUMULATIVE TOTAL (1) (3)(4) (3)(4) Common Stock 272(5) 55,652(5) D
Deferred Director Fees (1) 09/30/2021 A(2) 43 (6) (6) Common Stock 47 $0 11,858 D
Explanation of Responses:
1. Conversion or Exercise Price of Derivative Securities is 1-for-1.
2. Restricted Stock Units are entitled to dividend equivalent rights, which accrue on dividend record dates.
3. These Restricted Stock Units vest immediately upon grant. However, for awards granted prior to May 2014, directors must hold the underlying shares of common stock of the Company for six months after they cease serving as a director, for awards granted in May, 2014 or later, directors must hold the underlying shares of common stock of the Company for one day after the director ceases serving.
4. These Restricted Stock Units vest on the earlier to occur of the issuer's next annual meeting of shareholders or one year from the date of grant; provided, that these Restricted Stock Units will immediately vest upon, and in any case delivery of the shares underlying these Restricted Stock Units will not occur until, the occurrence of one of the following: a change in control of the issuer, the director's death or permanent and total disability, or one day after the date the director ceases to be a director of the issuer.
5. This amount represents cumulative total of all Restricted Stock Units (deferred stock awards) granted to reporting person. This cumulative total does not represent additional Restricted Stock Units granted to the reporting person, but is merely a total of all awards reported separately on this SEC Form 4.
6. These Restricted Stock Units will automatically be converted into shares of common stock in two annual installments. The first installment will be made on the date the reporting person ceases to be a member of the Board of Directors of the Company. The second installment will be made on the one year anniversary of the date the reporting person ceases to be a member of the Board of Directors.
Remarks:
/s/ Sarah A. Tarkington, as Attorney-in-Fact for Stuart A. Taylor II 10/04/2021
** 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.