e10v12b
 

As filed with the Securities and Exchange Commission on November 5, 2007
 
File No.     
 
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
Form 10
 
GENERAL FORM FOR REGISTRATION OF SECURITIES
PURSUANT TO SECTION 12(b) OR 12(g) OF
THE SECURITIES EXCHANGE ACT OF 1934
 
BATESVILLE HOLDINGS, INC.
(Exact Name of Registrant as Specified in Its Charter)
 
     
Indiana
(State or Other Jurisdiction
of Incorporation or Organization)
  26-1342272
(I.R.S. Employer
Identification No.)
One Batesville Boulevard
Batesville, Indiana
(Address of Principal Executive Offices)
  47006
(Zip Code)
 
Registrant’s telephone number, including area code: 812-934-7500
 
 
 
 
Copies of correspondence to:
 
         
John R. Zerkle
Batesville Holdings, Inc.
One Batesville Boulevard
Batesville, Indiana 47006
(812) 931-3832
  Patrick D. de Maynadier
Hillenbrand Industries, Inc.
1069 State Route 46 East
Batesville, Indiana 47006
(812) 931-2304
  Charles H. Still, Jr.
Bracewell & Giuliani LLP
711 Louisiana Street, Suite 2300
Houston, Texas 77002-2770
(713) 221-3309
 
 
 
 
Securities to be registered pursuant to Section 12(b) of the Act:
 
     
Title of Each Class
  Name of Each Exchange on Which
to be so Registered
 
Each Class is to be Registered
 
Common Stock, without par value   New York Stock Exchange
 
Securities to be registered pursuant to Section 12(g) of the Act
None
 


 

INFORMATION REQUIRED IN REGISTRATION STATEMENT
 
Certain of the information required in this registration statement is included in the information statement filed as Exhibit 99.1 to this registration statement, as specified below.
 
Item 1.   Business.
 
The information required by this item is contained in the information statement under the headings “Business and Properties,” “Management’s Discussion and Analysis of Financial Condition and Results of Operations,” “Where You Can Find More Information” and “Index to Financial Statements” (and in the financial statements referenced therein) and is incorporated herein by reference.
 
Item 1A.   Risk Factors.
 
The information required by this item is contained in the information statement under the heading “Risk Factors” and is incorporated herein by reference
 
Item 2.   Financial Information.
 
The information required by this item is contained in the information statement under the headings “Selected Financial Information” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and is incorporated herein by reference.
 
Item 3.   Properties.
 
The information required by this item is contained in the information statement under the heading “Business and Properties” and is incorporated herein by reference.
 
Item 4.   Security Ownership of Certain Beneficial Owners and Management.
 
The information required by this item is contained in the information statement under the heading “Security Ownership of Certain Beneficial Owners and Management” and is incorporated herein by reference.
 
Item 5.   Directors and Executive Officers.
 
The information required by this item is contained in the information statement under the heading “Management” and is incorporated herein by reference.
 
Item 6.   Executive Compensation.
 
The information required by this item is contained in the information statement under the headings “Management” and “Executive Compensation” and is incorporated herein by reference.
 
Item 7.   Certain Relationships and Related Transactions, and Director Independence.
 
The information required by this item is contained in the information statement under the headings “Arrangements between Original Hillenbrand and New Hillenbrand,” “Management” and “Transactions with Related Persons” and is incorporated herein by reference.
 
Item 8.   Legal Proceedings.
 
The information required by this item is contained in the information statement under the heading “Business and Properties — Legal Proceedings” and is incorporated herein by reference.
 
Item 9.   Market Price of and Dividends on the Registrant’s Common Equity and Related Stockholder Matters.
 
The information required by this item is contained in the information statement under the headings “The Separation,” “Dividend Policy” and “Shares Eligible for Future Sale” and is incorporated herein by reference.


 

Item 10.   Recent Sales of Unregistered Securities.
 
On November 1, 2007, in connection with the organization of the registrant, the registrant issued 100 shares of its common stock to Hillenbrand Industries, Inc. for aggregate consideration of $1,000. These shares of common stock were issued without registration under the Securities Act of 1933, as amended, in reliance on the exemption provided by Section 4(2) of that Act. The registrant has not sold any other securities.
 
Item 11.   Description of Registrant’s Securities to be Registered.
 
The information required by this item is contained in the information statement under the heading “Description of New Hillenbrand Capital Stock” and is incorporated herein by reference.
 
Item 12.   Indemnification of Directors and Officers.
 
The information required by this item is contained in the information statement under the heading “Description of New Hillenbrand Capital Stock — Limitation on Liability of Directors and Indemnification of Directors and Officers” and is incorporated herein by reference.
 
Item 13.   Financial Statements and Supplementary Data.
 
The information required by this item is contained in the information statement under the headings “Unaudited Pro Forma Combined Financial Statements” and “Index to Financial Statements” (and in the financial statements and schedule referenced therein) and is incorporated herein by reference.
 
Item 14.   Changes in and Disagreements with Accountants on Accounting and Financial Disclosure.
 
None.
 
Item 15.   Financial Statements and Exhibits.
 
(a) The information required by this item is contained in the information statement under the heading “Index to Financial Statements” and is incorporated herein by reference.
 
Schedules not mentioned in the incorporated information have been omitted because the information required to be set forth therein is not applicable or the information is otherwise included in the financial statements or notes thereto.
 
(b) The Exhibit Index that follows the signature page sets forth the documents that are filed as exhibits hereto and is incorporated herein by reference.


 

SIGNATURES
 
Pursuant to the requirements of Section 12 of the Securities Exchange Act of 1934, the registrant has duly caused this registration statement to be signed on its behalf by the undersigned, thereunto duly authorized.
 
BATESVILLE HOLDINGS, INC.
 
  By: 
/s/  Patrick D. de Maynadier
Name:     Patrick D. de Maynadier
  Title:  President, Secretary and Treasurer
 
Dated: November 5, 2007


 

EXHIBIT INDEX
 
         
Exhibit
   
Number
 
Exhibit Description
 
  2 .1*   Form of Distribution Agreement by and between Hillenbrand Industries, Inc. and Batesville Holdings, Inc.
  3 .1*   Form of Amended and Restated Articles of Incorporation of Batesville Holdings, Inc.
  3 .2*   Form of Amended and Restated Code of By-laws of Batesville Holdings, Inc.
  10 .1*   Form of Tax Sharing Agreement between Hillenbrand Industries, Inc. and Batesville Holdings, Inc.
  10 .2*   Form of Employee Matters Agreement between Hillenbrand Industries, Inc. and Batesville Holdings, Inc.
  10 .3*   Form of Judgment Sharing Agreement between Hillenbrand Industries, Inc., Batesville Holdings, Inc. and Batesville Casket Company, Inc.
  10 .4*   Form of Employment Agreement between Batesville Holdings, Inc. and certain executive officers, including the named executive officers
  10 .5*   Form of Change in Control Agreement between Batesville Holdings, Inc. and certain executive officers, including the named executive officers
  10 .6*   Form of Indemnity Agreement between Batesville Holdings, Inc. and certain executive officers, including the named executive officers
  10 .7*   Form of Indemnity Agreement between Batesville Holdings, Inc. and it non-employee directors
  10 .8*   Batesville Holdings, Inc. Stock Incentive Plan
  10 .9*   Form of Stock Award for executive officers under the Batesville Holdings, Inc. Stock Incentive Plan
  10 .10*   Form of Stock Award for non-employee directors under the Batesville Holdings, Inc. Stock Incentive Plan
  10 .11*   Form of Stock Option Agreement under the Batesville Holdings, Inc. Stock Incentive Plan
  10 .12*   Batesville Holdings, Inc. Board of Directors’ Deferred Compensation Plan
  10 .13*   Batesville Holdings, Inc. Short-Term Incentive Compensation Plan
  10 .14*   Batesville Holdings, Inc. Supplemental Executive Retirement Plan
  10 .15*   Batesville Holdings, Inc. Senior Executive Deferred Compensation Program
  10 .16***   Stock Purchase Agreement dated as of February 12, 2004 between Hillenbrand Industries, Inc. and FFS Holdings, Inc. (Incorporated herein by reference to Exhibit 10.1 to Hillenbrand Industries, Inc.’s Form 10-Q for the quarter ended March 31, 2004)
  10 .17***   Certificate of Designation relating to Series A Redeemable Preferred Stock of FFS Holdings, Inc. (Incorporated herein by reference to Exhibit 10.2 to Hillenbrand Industries, Inc.’s Form 10-Q for the quarter ended March 31, 2004)
  10 .18***   Warrant to Purchase Common Stock of FFS Holdings, Inc. (Incorporated herein by reference to Exhibit 10.3 to Hillenbrand Industries, Inc.’s Form 10-Q for the quarter ended March 31, 2004)
  10 .19***   Promissory Note from FFS Holdings, Inc. to Hillenbrand Industries Inc. (Incorporated herein by reference to Exhibit 10.4 to Hillenbrand Industries, Inc.’s Form 10-Q for the quarter ended March 31, 2004)
  10 .20***   Guaranty by Hillenbrand Industries, Inc. in favor of FFS Holdings, Inc. (Incorporated herein by reference to Exhibit 10.5 to Hillenbrand Industries, Inc.’s Form 10-Q for the quarter ended March 31, 2004)
  10 .21***   Stock Pledge Agreement between FFS Holdings, Inc. and Hillenbrand Industries, Inc. (Incorporated herein by reference to Exhibit 10.6 to Hillenbrand Industries, Inc.’s Form 10-Q for the quarter ended March 31, 2004)
  14 .1*   Form of Code of Ethical Business Conduct
  21 .1*   Subsidiaries of Batesville Holdings, Inc.
  99 .1**   Information Statement, subject to completion, dated November 5, 2007
  99 .2*   Batesville Holdings, Inc. Corporate Governance Standards for Board of Directors
  99 .3*   Charter of Audit Committee of Board of Directors


 

         
Exhibit
   
Number
 
Exhibit Description
 
  99 .4*   Charter of Nominating/Corporate Governance Committee of Board of Directors
  99 .5*   Charter of Compensation and Management Development Committee of Board of Directors
 
 
* To be filed by amendment.
 
** Filed herewith
 
*** The rights and obligations of Hillenbrand Industries, Inc. under these instruments will be assigned to and assumed by Batesville Holdings, Inc. in connection with the distribution described in the information statement.