0000048287-21-000006.txt : 20210128 0000048287-21-000006.hdr.sgml : 20210128 20210128135947 ACCESSION NUMBER: 0000048287-21-000006 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210102 FILED AS OF DATE: 20210128 DATE AS OF CHANGE: 20210128 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hagedorn Jason Dean CENTRAL INDEX KEY: 0001835778 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14225 FILM NUMBER: 21564048 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: 0102 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_161186037542308.xml FORM 5 X0306 5 2021-01-02 0 0 0 0000048287 HNI CORP HNI 0001835778 Hagedorn Jason Dean 600 EAST SECOND STREET MUSCATINE IA 52761 0 1 0 0 President, Allsteel Inc. Common Stock 2020-12-31 5 A 0 59.745 0 A 3233.925 D Common Stock 583.49 I Profit-Sharing Retirement Plan These shares were acquired during the fiscal year under the HNI Corporation Members' Stock Purchase Plan. /s/ Steven M. Bradford, By Power of Attorney 2021-01-28