SEC Form 5 · accession 0001140361-16-050974
HNI CORP · HNI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Donna D Meade
Officer — VP, Member Relations
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 | 103 | $0.00 | A | 103 | I | Profiit-Sharing Retirement |
| Common StockF3 | holding | — | — | — | 4,438 | D |
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 Profit-Sharing Retirement Plan. The information is as of January 1, 2016.
- F2The total reported in Column 5 has been adjusted to correct an overstatement of indirect holdings by 0.0138 shares first reflected in a Form 4 filed on February 20, 2015.
- F3An interim grant of 47 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.