| FORM 3 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 | | OMB APPROVAL | | OMB Number: | 3235-0104 | | Expires: | February 28, 2011 | | Estimated average burden | | hours per response | 0.5 |
|
|
1. Name and Address of Reporting Person*
(Street)
| 2. Date of Event Requiring Statement (Month/Day/Year) 10/01/2009 | 3. Issuer Name and Ticker or Trading Symbol KIMBERLY CLARK CORP
[KMB]
|
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable) | Director | | 10% Owner | | X | Officer (give title below) | | Other (specify below) | | Vice President and Controller |
| 5. 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 Beneficially Owned |
|---|
| 1. Title of Security (Instr.
4)
| 2.
Amount of Securities Owned (Instr.
4)
| 3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
| 4. Nature of Indirect Beneficial Ownership (Instr.
5)
|
|---|
|
Common Stock
|
4,161.659
|
D
| |
|
Common Stock
|
3,934.4353
|
I
|
Incentive Investment Plan
|
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) |
|---|
| 1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year)
| 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Excercise Price of Derivative Security
| 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)
| 6. Nature of Indirect Beneficial Ownership (Instr. 5)
|
|---|
| Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
|---|
|
Stock Option (Right to Buy)
| | 02/16/2013 |
Common Stock
|
4,067
|
$
43.7987
|
D
| |
|
Stock Option (Right to Buy)
| | 04/29/2019 |
Common Stock
|
3,024
|
$
49.61
|
D
| |
|
Stock Option (Right to Buy)
| | 02/20/2010 |
Common Stock
|
2,033
|
$
51.995
|
D
| |
|
Stock Option (Right to Buy)
| | 04/26/2016 |
Common Stock
|
9,195
|
$
58.73
|
D
| |
|
Stock Option (Right to Buy)
| | 02/17/2012 |
Common Stock
|
1,525
|
$
59.9749
|
D
| |
|
Stock Option (Right to Buy)
| | 04/28/2015 |
Common Stock
|
8,443
|
$
61.59
|
D
| |
|
Stock Option (Right to Buy)
| | 04/28/2014 |
Common Stock
|
4,067
|
$
63.1413
|
D
| |
|
Stock Option (Right to Buy)
| | 04/23/2018 |
Common Stock
|
2,865
|
$
63.99
|
D
| |
|
Stock Option (Right to Buy)
| | 02/21/2011 |
Common Stock
|
1,525
|
$
68.5891
|
D
| |
|
Stock Option (Right to Buy)
| | 04/25/2017 |
Common Stock
|
9,460
|
$
71.88
|
D
| |
| Explanation of Responses: |
|
|
|
|
|
|
|
|
|
|
|
|
Remarks:
|
| /s/ Steve W. Milton as attorney-in-fact for Michael T. Azbell | 10/09/2009 |
| ** 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 5(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. |
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, that the undersigned does hereby
constitute and appoint Thomas J. Mielke, Timothy C. Everett, John W. Wesley,
and Steve W. Milton, and each of them, with full power to act
alone, his true and lawful attorney-in-fact and agent, with full power of
substitution and resubstitution, for him and in his name, place and stead, in
any and all capacities, to (i) prepare, execute in the undersigned's name and on
the undersigned's behalf, and submit to the U.S. Securities and Exchange
Commission (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 Securities Exchange Act of 1934 (the "Act") or any rule or
regulation of the SEC and (ii) execute and acknowledge Forms 3, 4, 5 and 144
(including amendments thereto) with respect to securities of Kimberly-Clark
Corporation (the "Company"), and to deliver and file the same with all exhibits
thereto, and all other documents in connection therewith, to and with the SEC,
the national securities exchanges and the Company pursuant to Section 16(a) of
the Act, as amended, and the rules and regulations thereunder, granting unto
said attorneys-in-fact and agents, and each of them, full power and authority to
do and perform each and every act and thing requisite and necessary to be done,
as fully to all intents and purposes as the undersigned might or could do in
person, hereby ratifying and confirming all that said attorneys-in-fact and
agents or any one of them, or his substitute or their substitutes, lawfully do
or cause to be done by virtue hereof. The undersigned agrees that each of the
attorneys-in-fact herein may rely entirely on information furnished orally or in
writing by the undersigned to such attorney-in-fact.
The validity of this Power of Attorney shall not be affected in any
manner by reason of the execution, at any time, of other powers of attorney by
the undersigned in favor of persons other than those named herein.
The undersigned agrees and represents to those dealing with any of
the attorneys-in-fact herein that this Power of Attorney is for indefinite
duration and may be voluntarily revoked only by written notice delivered to such
attorney-in-fact.
IN WITNESS WHEREOF, I have hereunto set my hand this 31st day of
August 2009.
/s/ Michael T. Azbell
Michael T. Azbell