SEC Form 5 · accession 0001140361-16-050977
HNI CORP · HNI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kurt A Tjaden
Officer — Sr. VP and CFO
Period of report
Jan 1, 2016
Accepted (ET)
Feb 9, 2016 · 3:41 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 | Jan 1, 2016 | A | 463 | $0.00 | A | 34,271 | D | |
| Common StockF2,F3 | Jan 1, 2016 | A | 121 | $0.00 | A | 838 | 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.
- F2These shares were acquired during the fiscal year under the HNI Corporation Profit-Sharing Retirement Plan. The information is as of January 1, 2016.
- F3The total reported in Column 5 has been adjusted to correct an overstatement of indirect holdings by 98.5496 shares first reflected in a Form 5 filed on February 10, 2015.