SEC FORM 4 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*
Wiertel Edward A

(Last) (First) (Middle)
520 LAKE COOK ROAD

(Street)
DEERFIELD IL 60015

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Fortune Brands Home & Security, Inc. [ FBHS ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
SVP-Finance
3. Date of Earliest Transaction (Month/Day/Year)
10/14/2011
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
Stock Options (Right to Buy) $18.096 10/14/2011 A 8,257(1) (2) 09/24/2014 Common Stock 8,257 $0 8,257 D
Stock Options (Right to Buy) $12.7443 10/14/2011 A 37,016(1) (2) 09/29/2015 Common Stock 37,016 $0 37,016 D
Stock Options (Right to Buy) $9.608 10/14/2011 A 25,908(1) 09/30/2010(3) 09/30/2016 Common Stock 25,908 $0 25,908 D
Stock Options (Right to Buy) $9.7622 10/14/2011 A 33,314(1) 02/22/2011(3) 02/22/2017 Common Stock 33,314 $0 33,314 D
Stock Options (Right to Buy) $13.757 10/14/2011 A 39,813(1) 02/22/2012(3) 02/22/2021 Common Stock 39,813 $0 39,813 D
Explanation of Responses:
1. Represents options to purchase Fortune Brands Home & Security, Inc. ("FBHS") stock acquired by the reporting person as a result of the adjustment of options to purchase shares of Beam Inc. (f/k/a Fortune Brands, Inc.) common stock held by the reporting person prior to the spin-off of FBHS. This adjustment occurred pursuant to the terms of the Employee Matters Agreement dated September 28, 2011 between FBHS and Fortune Brands, Inc.
2. The option is presently exercisable in full.
3. The options vested in three equal annual installments beginning on the date indicated.
/s/ Angela M. Pla, Attorney-in-Fact for Edward A. Wiertel 10/18/2011
** 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).
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