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
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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*
NICHOLSON LONNIE P

(Last) (First) (Middle)
1600 ROYAL STREET

(Street)
JASPER IN 47546-2256

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
KIMBALL INTERNATIONAL INC [ KBAL ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
EVP, CHIEF HUMAN RESOURCE OFCR
3. Date of Earliest Transaction (Month/Day/Year)
07/12/2021
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
CLASS B COMMON STOCK 07/12/2021 A(1) 754 A $0 93,983 D
CLASS B COMMON STOCK 07/12/2021 F(2) 211 D $13.062 93,772 D
CLASS B COMMON STOCK 2,004 I SPOUSE
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 (3) 07/12/2021 A 9,775 (4) (5) CLASS B COMMON STOCK 9,775 $0(6) 26,621(7) D
Explanation of Responses:
1. 0n 7/2/18, the reporting person was granted performance units representing the right to receive 1,480 shares of common stock at the target level of performance and up to 2,960 shares of common stock at the maximum level of performance, with the number of shares earned to be determined based on the Company's total return during the performance cycle ending on 6/30/21. As determined on 7/12/21, the reporting person earned 754 shares of common stock pursuant to this award.
2. Represents shares withheld by the Company to satisfy tax withholding obligations.
3. The Restricted Stock Units convert on a one-for-one basis into shares of Class B Common Stock.
4. Represents Restricted Stock Units granted on 7/12/21 and vest on 6/30/24 (9,775 shares).
5. Expiration of Restricted Stock Units is dependent upon the terms of the employment agreement if the reporting person ceases employment for any reason other than death, retirement or total permanent disability.
6. Not Applicable.
7. Represents Restricted Stock Units which vest on 6/30/22 (7,567 shares), 6/30/23 (9,279 shares) and 6/30/24 (9,775 shares).
Remarks:
Michelle R. Schroeder, Attorney-in-Fact and Agent 07/14/2021
** 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.