0000048287-21-000145.txt : 20211210
0000048287-21-000145.hdr.sgml : 20211210
20211210091502
ACCESSION NUMBER: 0000048287-21-000145
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211208
FILED AS OF DATE: 20211210
DATE AS OF CHANGE: 20211210
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: 211483844
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_163914568888213.xml
FORM 4
X0306
4
2021-12-08
0
0000048287
HNI CORP
HNI
0001163222
WATERS RONALD V
600 EAST SECOND STREET
MUSCATINE
IA
52761
1
0
0
0
Common Stock
2021-12-08
5
G
0
E
1300
0
D
36673.7406
D
Common Stock
2021-12-08
5
G
0
E
10630
0
D
26289.9074
D
Common Stock
2021-12-08
5
G
0
E
10630
0
A
10630
I
By Trust
These shares were gifted to Joffrey Ballet of Chicago.
These shares were transferred into a legacy trust for the benefit of the reporting person's spouse.
The total in column 5 includes reinvested dividends of 246.1668 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.
These shares are held in trust for the benefit of the reporting person's spouse. The reporting person's spouse is trustee of the trust. The reporting person disclaims beneficial ownership of these shares, and the filing of this report is not an admission that the reporting person is the beneficial owner of these shares for purposes of Section 16 or for any other purpose.
/s/ Steven M. Bradford, By Power of Attorney
2021-12-10