SEC Form 4 · accession 0001140361-15-043555
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
Dec 1, 2015
Accepted (ET)
Dec 3, 2015 · 4:00 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 StockF1 | Oct 19, 2015 | G | 1,314 | $0.00 | D | 657 | I | By grantor retained annuity trust |
| Common StockF1 | Oct 23, 2015 | G | 657 | $0.00 | D | 0 | I | By grantor retained annuity trust |
| Common StockF2 | Dec 1, 2015 | A | 312 | $0.00 | A | 185,258 | D | |
| Common StockF3 | holding | — | — | — | 9,380 | I | Profit-Sharing Retirement | |
| Common Stock | holding | — | — | — | 657 | I | By Son | |
| Common Stock | holding | — | — | — | 657 | I | By Son |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1On June 25, 2010, the reporting person contributed 40,000 shares of HNI Corporation common stock to a grantor retained annuity trust for the benefit of himself and his three adult children. Upon termination of the trust, 1,971 of the shares were transferred to the reporting person's children. The remaining 38,029 shares were distributed to the reporting person and continue to be reported in this Form 4 as directly owned.
- F2These shares are reinvested dividends acquired under the Corporation's Executive Deferred Compensation Plan.
- F3The total reported in Column 5 has been adjusted to correct an overstatement of indirect holdings by 1,288.6428 shares first reflected in a Form 5 filed on February 10, 2015.