-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, KYFhjluU4co7vw+cUH1X7Yp06nXTZE8ouS849Msjxy0OiWdtP/wwli3dY+Hyf8k4 tS4+Cefnf3qtZWbLmTn7AA== 0000048287-04-000145.txt : 20040903 0000048287-04-000145.hdr.sgml : 20040903 20040903094555 ACCESSION NUMBER: 0000048287-04-000145 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040901 FILED AS OF DATE: 20040903 DATE AS OF CHANGE: 20040903 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HNI CORP CENTRAL INDEX KEY: 0000048287 STANDARD INDUSTRIAL CLASSIFICATION: OFFICE FURNITURE (NO WOOD) [2522] IRS NUMBER: 420617510 STATE OF INCORPORATION: IA FISCAL YEAR END: 0102 BUSINESS ADDRESS: STREET 1: 414 EAST THIRD STREET - PO BOX 1109 CITY: MUSCATINE STATE: IA ZIP: 52761-7109 BUSINESS PHONE: 5632647400 MAIL ADDRESS: STREET 1: 414 EAST THIRD STREET STREET 2: P O BOX 1109 CITY: MUSCATINE STATE: IA ZIP: 52761 FORMER COMPANY: FORMER CONFORMED NAME: HON INDUSTRIES INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: HOME O NIZE CO DATE OF NAME CHANGE: 19681001 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BURDAKIN DAVID C CENTRAL INDEX KEY: 0001194577 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14225 FILM NUMBER: 041015307 BUSINESS ADDRESS: STREET 1: HON INDUSTRIES STREET 2: 414 E 3RD ST PO BOX 1109 CITY: MUSCATINE STATE: IA ZIP: 52761 BUSINESS PHONE: 5632647400 MAIL ADDRESS: STREET 1: 200 OAK STREET CITY: MUSCATINE STATE: IA ZIP: 52761 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2004-09-01 0 0000048287 HNI CORP HNI 0001194577 BURDAKIN DAVID C 200 OAK STREET MUSCATINE IA 52761 0 1 0 0 Executive Vice President Common Stock 2004-09-01 4 A 0 3.6635 39 A 12410.1999 D Common Stock 2799.7289 I Profit-Sharing Retirement These shares are reinvested dividends and were acquired by the reporting person pursuant to the Corporation's Executive Deferred Compensation Plan for the period ending September 1, 2004. /s/ James I. Johnson, By Power of Attorney 2004-09-02 -----END PRIVACY-ENHANCED MESSAGE-----