SEC Form 5 · accession 0000048287-17-000028
HNI CORP · HNI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jeffrey D Lorenger
Officer — Executive Vice President
Period of report
Dec 31, 2016
Accepted (ET)
Feb 13, 2017 · 8:52 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 StockF2 | Dec 30, 2016 | A | 252 | $0.00 | A | 4,745 | I | Profit Sharing Retirement Plan |
| Common StockF1 | holding | — | — | — | 20,808 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The total reported in column 5 has been adjusted to correct an understatement of direct holdings by 45.374 shares.
- F2These shares were acquired under the HNI Corporation Profit-Sharing Retirement Plan. The information is as of December 30, 2016.