SEC Form 5 · accession 0000048287-17-000020
HNI CORP · HNI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Donna D Meade
Officer — VP, Member Relations
Period of report
Dec 31, 2016
Accepted (ET)
Feb 13, 2017 · 8:38 pm EST
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 | Feb 29, 2016 | A | 408 | $0.00 | A | 4,846 | D | |
| Common StockF2 | Dec 30, 2016 | A | 168 | $0.00 | A | 272 | I | Profiit-Sharing Retirement |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1An interim grant of 408 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.
- F2These shares were acquired during the fiscal year under the HNI Corporation Profit-Sharing Retirement Plan. The information is as of December 30, 2016.