SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
Mohr Cheryl A.

(Last) (First) (Middle)
C/O HP INC
1501 PAGE MILL ROAD

(Street)
PALO ALTO CA 94304

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
04/15/2021
3. Issuer Name and Ticker or Trading Symbol
HP INC [ HPQ ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Acting Chief HR Officer
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 135,297.922 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (right to buy) 12/11/2014(1) 12/10/2021(1) Common Stock 64,859(1) 12.49(1) D
Employee Stock Option (right to buy) 12/10/2015(2) 12/09/2022(2) Common Stock 45,401(2) 17.29(2) D
Employee Stock Option (right to buy) 11/02/2016(3) 11/01/2023(3) Common Stock 37,965(3) 13.83(3) D
Restricted Stock Units (4) (4) Common Stock 16,354(4) 0.00 D
Restricted Stock Units (5) (5) Common Stock 4,254(5) 0.00 D
Restricted Stock Units (6) (6) Common Stock 18,293(6) 0.00 D
Restricted Stock Units (7) (7) Common Stock 15,836(7) 0.00 D
Explanation of Responses:
1. On 12/11/2013, the reporting person was granted 64,859 options, all of which have vested, and 30,000 of which have been exercised.
2. On 12/10/2014, the reporting person was granted 45,401 options, all of which have vested.
3. On 11/02/2015, the reporting person was granted 37,965 options, all of which have vested.
4. On 12/7/2018, the reporting person was granted 16,354 restricted stock units ("RSUs"), 5,451 of which vested on 12/7/2019 and 12/7/2020 and 5,452 of which are scheduled to vest on 12/7/2021. Dividend equivalent rights accrue with respect to these RSUs when and as dividends are paid on HP common stock.
5. On 10/28/2019, the reporting person was granted 4,254 RSUs, 1,418 of which vested on 10/28/2020 and 1,418 of which are scheduled to vest on each of 10/28/2021 and 10/28/2022. Dividend equivalent rights accrue with respect to these RSUs when and as dividends are paid on HP common stock.
6. On 12/6/2019, the reporting person was granted 18,293 RSUs, 6,097 of which vested on 12/7/2020 and 6,098 of which are scheduled to vest on each of 12/7/2021 and 12/07/2022. Dividend equivalent rights accrue with respect to these RSUs when and as dividends are paid on HP common stock.
7. On 12/7/2020, the reporting person was granted 15,836 RSUs, one-third of which vest annually over three years on each of 12/7/2021, 12/7/2022 and 12/7/2023. Dividend equivalent rights accrue with respect to these RSUs when and as dividends are paid on HP common stock.
Remarks:
/s/ Rick Hansen, Attorney-in-Fact for Cheryl Mohr 04/23/2021
** 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 5 (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.