SEC Form 4 · accession 0001628280-16-017922
HNI CORP · HNI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jerald K Dittmer
Officer — Executive Vice President
Period of report
Jul 26, 2016
Accepted (ET)
Jul 28, 2016 · 6:13 pm EDT
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 | Jul 26, 2016 | M | 10,463 | $48.66 | A | 31,882 | D | |
| Common StockF3 | Jul 26, 2016 | S | 10,463 | $51.959 | D | 21,419 | D | |
| Common Stock | Jul 26, 2016 | M | 36,364 | $23.99 | A | 57,783 | D | |
| Common StockF4 | Jul 26, 2016 | S | 36,364 | $52.029 | D | 21,419 | D | |
| Common Stock | holding | — | — | — | 7,025 | I | Profit Sharing Retirement Plan |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Options (Right to Buy) | $48.66 | Jul 26, 2016 | M | 10,463 | D | Feb 14, 2011 | Feb 14, 2017 | Common Stock | 10,463 | 0 | D |
| Employee Stock Options (Right to Buy) | $23.99 | Jul 26, 2016 | M | 36,364 | D | Feb 17, 2014 | Feb 17, 2020 | Common Stock | 36,364 | 0 | D |
Explanation of responses
- F1The total reported in Column 5 has been adjusted to correct an overstatement of direct holdings by 52.647 shares first reflected in a Form 4 filed on January 2, 2015.
- F2An interim grant of 1,816 shares was made to the reporting person on February 29, 2016 under the HNI Corporation Supplemental Income Plan for which no Form 4 is required.
- F3The price reported in column 4 is a weighted average. These shares were sold in multiple transactions at prices ranging from $51.76 - $52.20, inclusive. The reporting person undertakes to provide HNI Corporation, any security holder of HNI Corporation, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnote (3) to this Form 4.
- F4The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $51.99 - $52.22, inclusive. The reporting person undertakes to provide HNI Corporation, any security holder of HNI Corporation, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnote (4) to this Form 4.