SEC Form 4 · accession 0000048287-16-000115
HNI CORP · HNI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Donald T Mead
Officer — Executive Vice President
Period of report
Aug 26, 2016
Accepted (ET)
Aug 30, 2016 · 5:28 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000048287
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Aug 26, 2016 | M | 4,222 | $48.66 | A | 22,337 | D | |
| Common StockF3 | Aug 26, 2016 | S | 4,222 | $55.11 | D | 18,115 | D | |
| Common Stock | Aug 26, 2016 | M | 22,121 | $23.99 | A | 40,236 | D | |
| Common StockF4 | Aug 26, 2016 | S | 20,921 | $54.463 | D | 19,315 | D | |
| Common StockF5 | Aug 26, 2016 | S | 1,200 | $55.231 | D | 18,115 | D | |
| Common Stock | holding | — | — | — | 2,745 | I | Profit-Sharing Retirement Plan |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Options (Right to Buy) | $48.66 | Aug 26, 2016 | M | 4,222 | D | Feb 14, 2011 | Feb 14, 2017 | Common Stock | 4,222 | 0 | D |
| Employee Stock Options (Right to Buy) | $23.99 | Aug 26, 2016 | M | 22,121 | D | Feb 17, 2014 | Feb 17, 2020 | Common Stock | 22,121 | 0 | D |
Explanation of responses
- F1An interim grant of 382 shares was made to the reporting person on February 29, 2016 under the HNI Corporation Supplemental Income Plan for which no Form 4 is required.
- F2The total reported in column 5 has been adjusted to correct an overstatement of direct holdings by 5.2878 shares first reflected on a Form 4 in January of 2015.
- F3The price in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $55.00 - $55.30, inclusive. The reporting person undertakes to provide HNI Corporation, any security holder of HNI Corporation, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in this footnote to this Form 4.
- F4The price in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $54.12 - $55.11, inclusive. The reporting person undertakes to provide HNI Corporation, any security holder of HNI Corporation, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in this footnote to this Form 4.
- F5The price in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $55.16 - $55.34, inclusive. The reporting person undertakes to provide HNI Corporation, any security holder of HNI Corporation, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in this footnote to this Form 4.