SEC Form 5 · accession 0000048287-18-000017
HNI CORP · HNI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kurt A Tjaden
Officer — SVP HNI; President HNI Intl
Period of report
Dec 30, 2017
Accepted (ET)
Jan 29, 2018 · 11:23 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 | Feb 28, 2017 | A | 1,243 | $0.00 | A | 37,435 | D | |
| Common StockF2 | Mar 31, 2017 | A | 166 | $39.177 | A | 37,601 | D | |
| Common StockF2 | Jun 30, 2017 | A | 192 | $39.87 | A | 37,793 | D | |
| Common StockF2 | Sep 29, 2017 | A | 184 | $35.25 | A | 37,977 | D | |
| Common StockF2 | Dec 29, 2017 | A | 53 | $32.785 | A | 38,030 | D | |
| Common StockF3 | Dec 29, 2017 | A | 150 | $0.00 | A | 1,171 | 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.
- F2These shares were acquired during the fiscal year under the HNI Corporation Members' Stock Purchase Plan.
- F3These shares were acquired under the HNI Corporation Profit-Sharing Retirement Plan.
Remarks
Exhibit List: Exhibit 24-1 Power of Attorney