SEC Form 4 · accession 0001140361-15-010646
HNI CORP · HNI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kurt A Tjaden
Officer — VP and Chief Financial Officer
Period of report
Mar 5, 2015
Accepted (ET)
Mar 6, 2015 · 11:39 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 | Mar 5, 2015 | M | 12,931 | $10.36 | A | 46,739 | D | |
| Common StockF2 | Mar 5, 2015 | S | 12,931 | $50.35 | D | 33,808 | D | |
| Common Stock | holding | — | — | — | 816 | I | Profit-Sharing Retirement |
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 | Mar 5, 2015 | M | 12,931 | D | Feb 23, 2013 | Feb 23, 2019 | Common Stock | 12,931 | 0 | D |
Explanation of responses
- F1An interim grant of 682 shares was made to the reporting person on March 2, 2015, under the HNI Corporation Supplemental Income Plan for which no Form 4 is required.
- F2The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $49.91 to $50.75, 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 footnote (1) to this Form 4.