0000048287-20-000003.txt : 20200110 0000048287-20-000003.hdr.sgml : 20200110 20200110150308 ACCESSION NUMBER: 0000048287-20-000003 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191228 FILED AS OF DATE: 20200110 DATE AS OF CHANGE: 20200110 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bell Mary A CENTRAL INDEX KEY: 0001273773 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14225 FILM NUMBER: 20520794 MAIL ADDRESS: STREET 1: 312 BAY DRIVE SOUTH CITY: BRADENTON BEACH STATE: FL ZIP: 34217 FORMER NAME: FORMER CONFORMED NAME: BELL MARY H DATE OF NAME CHANGE: 20031218 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 5 1 wf-form5_157868657151374.xml FORM 5 X0306 5 2019-12-28 0 0 1 0000048287 HNI CORP HNI 0001273773 Bell Mary A 600 EAST SECOND STREET MUSCATINE IA 52761 1 0 0 0 Common Stock 2019-10-03 4 S 0 L 0.394 34.50 D 59535.2448 D The total in column 5 includes reinvested dividends of 255.1973 shares acquired under the Corporation's 2017 Equity Plan for Non-Employee Directors since the reporting persons last report, which acquisitions are exempt from Section 16. /s/ Julie Abramowski; By Power of Attorney 2020-01-10