SEC Form 5 · accession 0001140361-16-050969
HNI CORP · HNI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jerald K Dittmer
Officer — Executive VP
Period of report
Jan 1, 2016
Accepted (ET)
Feb 9, 2016 · 3:36 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,F2 | Jan 1, 2016 | A | 378 | $0.00 | A | 19,655 | D | |
| Common StockF3,F4 | Jan 1, 2016 | A | 269 | $0.00 | A | 7,025 | I | Profit-Sharing Retirement |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1These shares were acquired during the fiscal year under the HNI Corporation 2002 Members' Stock Purchase Plan at prices ranging from $37.137 to $47.83. The information is as of January 1, 2016.
- F2An interim grant of 1,021 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.
- F3These shares were acquired during the fiscal year under the HNI Corporation Profit-Sharing Retirement Plan. The information is as of January 1, 2016.
- F4The total reported in Column 5 has been adjusted to correct an overstatement of indirect holdings by 928.1923 shares first reflected in a Form 5 filed on February 10, 2015.