SEC Form 5 · accession 0000048287-18-000015
HNI CORP · HNI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jeffrey D Lorenger
Officer — President, Office Furniture
Period of report
Dec 30, 2017
Accepted (ET)
Jan 29, 2018 · 11:22 am 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,F2 | Feb 28, 2017 | A | 1,200 | $0.00 | A | 22,022 | D | |
| Common StockF3 | Dec 29, 2017 | A | 265 | $0.00 | A | 5,010 | I | Profit Sharing Retirement Plan |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1These shares were acquired under a grant made to the reporting person under the HNI Corporation Supplemental Income Plan.
- F2The total in column 5 includes reinvested dividends of 14.3061.
- F3These shares were acquired under the HNI Corporation Profit-Sharing Retirement Plan.
Remarks
Exhibit List: Exhibit 24-1 Power of Attorney