0000048287-21-000095.txt : 20210513 0000048287-21-000095.hdr.sgml : 20210513 20210513162852 ACCESSION NUMBER: 0000048287-21-000095 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210511 FILED AS OF DATE: 20210513 DATE AS OF CHANGE: 20210513 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WATERS RONALD V CENTRAL INDEX KEY: 0001163222 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14225 FILM NUMBER: 21920072 MAIL ADDRESS: STREET 1: 75 EAST ELM STREET CITY: CHICAGO STATE: IL ZIP: 60611 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: 0101 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 4 1 wf-form4_162093771467137.xml FORM 4 X0306 4 2021-05-11 0 0000048287 HNI CORP HNI 0001163222 WATERS RONALD V 600 EAST SECOND STREET MUSCATINE IA 52761 1 0 0 0 Common Stock 2021-05-11 4 A 0 2523 0 A 37973.7406 D These shares were granted to the reporting person under HNI Corporation's 2017 Equity Plan for Non-Employee Directors. The total in column 5 includes reinvested dividends of 599.6726 shares acquired under the Corporation's 2017 Equity Plan for Non-Employee Directors since the reporting person's last report, which acquisitions are exempt from Section 16. /s/ Steven M. Bradford, By Power of Attorney 2021-05-13