SEC Form 5 · accession 0001140361-16-050972
HNI CORP · HNI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Donald T Mead
Officer — Executive Vice President
Period of report
Jan 1, 2016
Accepted (ET)
Feb 9, 2016 · 3:39 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 | 67 | $0.00 | A | 17,738 | D | |
| Common StockF3,F4 | Jan 1, 2016 | A | 166 | $0.00 | A | 2,745 | 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 $36.06 to $47.83. The information is as of January 1, 2016.
- F2An interim grant of 90 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 354.3351 shares first reflected in a Form 5 filed on February 10, 2015.