|
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
|
OMB APPROVAL
OMB Number: 3235-0287 Estimated average burden hours per response... 0.5 |
|
|
|
|
|
1. Name and Address of Reporting Person
*
NOTEBAERT RICHARD C |
2. Issuer Name
and
Ticker or Trading Symbol
CARDINAL HEALTH INC [ CAH ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__ X __ Director _____ 10% Owner _____ Officer (give title below) _____ Other (specify below) |
|
7000 CARDINAL PLACE |
3. Date of Earliest Transaction
(MM/DD/YYYY)
|
|
|
DUBLIN, OH 43017 |
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
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. Trans. Date | 2A. Deemed Execution Date, if any |
3. Trans. 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 | ||||||
| Common Shares (1) | 11/2/2012 | A | 3406 | A | $0 | 31081 | D |
|
||
|
Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities) |
|||||||||||||||
|
1. Title of Derivate Security
(Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any |
4. Trans. 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 |
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 of Derivative Security: 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 | ||||||||
|
Reporting Owners
|
|||||
| Reporting Owner Name / Address |
|
||||
| Director | 10% Owner | Officer | Other | ||
|
NOTEBAERT RICHARD C
7000 CARDINAL PLACE DUBLIN, OH 43017 |
X |
|
|
|
|
|
Signatures
|
||
| /s/ Elaine S. Natsis, Attorney-in-fact | 11/6/2012 | |
| ** 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 control number. | |
RICHARD C. NOTEBAERT
LIMITED POWER OF ATTORNEY FOR
SECTION 16 REPORTING OBLIGATIONS
I hereby make, constitute and appoint each of Stephen T.
Falk, John M. Adams, Jr., James E. Barnett, Christopher B.
Gaskill and Elaine S. Natsis, each acting individually, as the
undersigned's true and lawful attorney-in-fact, with full
power and authority as hereinafter described on behalf of and
in the name, place and stead of the undersigned to:
(1) prepare, execute, acknowledge, deliver and file
Forms 3, 4, and 5 (including any amendments thereto) with
respect to the securities of Cardinal Health, Inc., an Ohio
corporation (the "Company"), with the United States Securities
and Exchange Commission (the "SEC"), any national securities
exchanges and the Company, as considered necessary or
advisable under Section 16(a) of the United States Securities
Exchange Act of 1934 and the rules and regulations promulgated
thereunder, as amended from time to time (the "Exchange Act");
(2) prepare and execute in the undersigned's name and on
the undersigned's behalf, and to submit to the SEC a Form ID,
including amendments thereto, and any other documents
necessary or appropriate to obtain codes and passwords
enabling the undersigned to make electronic filings with the
SEC of reports required by Section 16(a) of the Exchange Act
or any rule or regulation of the SEC;
(3) prepare, execute, acknowledge, deliver and file Form
144s (including any amendments or supplements thereto) with
respect to the sale of securities of the Company by the
undersigned, with the SEC, any national securities exchanges
and the Company, as considered necessary or advisable under
Rule 144 of the Securities Act of 1933 and the rules and
regulations promulgated thereunder, as amended from time to
time;
(4) seek or obtain, as the undersigned's
representative and on the undersigned's behalf, information on
transactions in the Company's securities from any third party,
including brokers, employee benefit plan administrators and
trustees, and the undersigned hereby authorizes any such
person to release any such information to the attorney-in-fact
and approves and ratifies any such release of information; and
(5) perform any and all other acts which in the
discretion of such attorney-in-fact are necessary or desirable
for and on behalf of the undersigned in connection with the
foregoing.
The undersigned acknowledges that:
(1) this Limited Power of Attorney authorizes, but does
not require, each such attorney-in-fact to act in his
discretion on information provided to such attorney-in-fact
without independent verification of such information;
(2) any documents prepared and/or executed by each such
attorney-in-fact on behalf of the undersigned pursuant to this
Limited Power of Attorney will be in such form and will
contain such information and disclosure as such attorney-in-
fact, in his discretion, deems necessary or desirable;
(3) neither the company nor such attorney-in-fact
assumes (i) any liability for the undersigned's responsibility
to comply with the requirement of the Exchange Act, (ii) any
liability of the undersigned for any failure to comply with
such requirements, or (iii) any obligation or liability of the
undersigned for profit disgorgement under Section 16(b) of the
Exchange Act; and
(4) this Power of Attorney does not relieve the
undersigned from responsibility for compliance with the
undersigned's obligations under the Exchange Act, including
without limitation, the reporting requirements under Section
16 of the Exchange Act.
The undersigned hereby gives and grants each of the
foregoing attorneys-in-fact full power and authority to do and
perform all and every act and thing whatsoever required,
necessary or appropriate to be done in connection with the
undersigned and the undersigned also hereby ratifies all that
each such attorney-in-fact shall lawfully do or cause to be
done by virtue of this Limited Power of Attorney.
This Power of Attorney shall remain in full force and
effect until revoked by the undersigned in a signed writing
delivered to each such attorney-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this
Limited Power of Attorney to be executed as of this 3rd day of
August, 2011.
/s/ Richard C. Notebaert Signature RICHARD C. NOTEBAERT Print Name |