0000048287-19-000115.txt : 20190723 0000048287-19-000115.hdr.sgml : 20190723 20190723093618 ACCESSION NUMBER: 0000048287-19-000115 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20190711 FILED AS OF DATE: 20190723 DATE AS OF CHANGE: 20190723 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sivajee Dhanusha CENTRAL INDEX KEY: 0001782603 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14225 FILM NUMBER: 19966901 MAIL ADDRESS: STREET 1: 600 EAST SECOND STREET CITY: MUSCATINE STATE: IA ZIP: 52761 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: 1228 BUSINESS ADDRESS: STREET 1: 600 EAST SECOND STREET - PO BOX 1109 CITY: MUSCATINE STATE: IA ZIP: 52761-7109 BUSINESS PHONE: 5632727400 MAIL ADDRESS: STREET 1: 600 EAST SECOND 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 3 1 wf-form3_156388895982253.xml FORM 3 X0206 3 2019-07-11 0 0000048287 HNI CORP HNI 0001782603 Sivajee Dhanusha 600 EAST SECOND STREET MUSCATINE IA 52761 1 0 0 0 No securities are beneficially owned 0 D Exhibit List: Exhibit 24-1 Power of Attorney /s/ Julie Abramowski By Power of Attorney 2019-07-23 EX-24 2 sivajeepowerofattorney.htm DHANUSHA SIVAJEE POA Exhibit

POWER OF ATTORNEY
KNOW ALL BY THESE PRESENTS, that the undersigned hereby constitutes and appoints each of Marshall H. Bridges, Steven M. Bradford and Julie M. Abramowski, or any of them signing singly, with full power of substitution, as the undersigned’s true and lawful attorney-in-fact to:
(1)
Execute for and on behalf of the undersigned, in the undersigned’s capacity as an officer and/or Director of HNI Corporation (the “Company”), Forms 3, 4 and 5 (including amendments thereto) in accordance with Section 16(a) of the Securities and Exchange Act of 1934, as amended (the “Exchange Act”), and rules and regulations thereunder;
(2)
Do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Forms 3, 4 or 5, complete and execute any amendment or amendments thereto, and timely file such forms with the United States Securities and Exchange Commission (“SEC”) and any stock exchange or similar authority; and
(3)
Take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by or for, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such information, disclosure and terms and conditions as such attorney-in-fact may approve in such attorney-in-fact’s discretion.
The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact’s substitute or substitutes, shall lawfully do or cause to be done by virtue of this Power of Attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request and on the behalf of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned’s responsibilities to comply with, or any liability for the failure to comply with, any provision of Section 16 of the Exchange Act.
This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4 or 5 with respect to the undersigned’s holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 9th day of July, 2019.
Dhanusha Sivajee
/s/ Dhanusha Sivajee
Signature