SEC Form 4 · accession 0000048287-17-000167
HNI CORP · HNI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Stanley A Askren
Officer — Chairman, President & CEO · Director
Period of report
Sep 20, 2017
Accepted (ET)
Sep 22, 2017 · 4:43 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 Stock | Sep 20, 2017 | M | 12,000 | $10.36 | A | 216,996 | D | |
| Common StockF1,F2 | Sep 20, 2017 | S | 12,000 | $37.777 | D | 204,996 | D | |
| Common Stock | holding | — | — | — | 10,064 | I | Profit Sharing Retirement Plan | |
| Common StockF3 | holding | — | — | — | 657 | I | By Son | |
| Common StockF3 | holding | — | — | — | 657 | I | By Son |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Non-qualifying employee stock option (right to buy) | $10.36 | Sep 20, 2017 | M | 12,000 | D | Feb 23, 2013 | Feb 23, 2019 | Common Stock | 12,000 | 54,852 | D |
Explanation of responses
- F1The price in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $37.71 - $37.92, 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.
- F2The sale was effected pursuant to a Rule 10b5-1 of the Securities and Exchange Act of 1934, as amended, and HNI's policies regarding stock transactions, including its insider trading policy.
- F3Reporting person disclaims beneficial ownership of these shares.
Remarks
Exhibit List: Exhibit 24-1 Power of Attorney