Initial Statement of Beneficial Ownership (3)
22 Maio 2013 - 3:27PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
Estimated average burden
hours per response...
0.5
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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
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Ramachandra Sumant
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2. Date of Event Requiring Statement (MM/DD/YYYY)
5/17/2013
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3. Issuer Name
and
Ticker or Trading Symbol
HOSPIRA INC [HSP]
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(Last)
(First)
(Middle)
C/O HOSPIRA, INC., 275 NORTH FIELD DRIVE
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
_____ 10% Owner
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X
___ Officer (give title below)
_____ Other (specify below)
Senior Vice President and CSO /
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(Street)
LAKE FOREST, IL 60045
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
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X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Common Stock
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20624
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D
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Common Stock
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271
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I
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See Note
(1)
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Phantom Shares
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(2)
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(2)
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Common Stock
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865.8191
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(2)
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D
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Option (right to buy)
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(3)
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6/7/2013
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Common Stock
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75000
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$0
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D
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Option (right to buy)
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(3)
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6/7/2013
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Common Stock
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67568
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$0
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D
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Option (right to buy)
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(3)
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6/7/2013
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Common Stock
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17892
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$0
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D
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Option (right to buy)
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(3)
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6/7/2013
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Common Stock
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23702
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$0
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D
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Explanation of Responses:
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(
1)
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Balance in the Hospira Stock Retirement Plan as of May 20, 2013.
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(
2)
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These phantom shares were acquired under Hospira's Non-Qualified Savings and Investment Plan, a non-qualified deferred compensation plan. Each share of phantom stock is the economic equivalent of one share of common stock. The vested shares of phantom stock become payable in cash based upon the account balance at the time of distribution upon the ealier of a date specified by the reporting person, change in control, or his separation from service, death or disability. The shares were acquired at certain pay periods when he was previously employed by Hospira based on the closing price of the common stock the day the contributions were credited to the reporting person's account.
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(
3)
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These options are fully vested.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Ramachandra Sumant
C/O HOSPIRA, INC.
275 NORTH FIELD DRIVE
LAKE FOREST, IL 60045
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Senior Vice President and CSO
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Signatures
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Deborah Koenen, attorney in fact
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5/22/2013
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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 control number.
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