0000048287-22-000020.txt : 20220215
0000048287-22-000020.hdr.sgml : 20220215
20220215155028
ACCESSION NUMBER: 0000048287-22-000020
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220101
FILED AS OF DATE: 20220215
DATE AS OF CHANGE: 20220215
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: 22639020
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: 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
5
1
wf-form5_164495821293150.xml
FORM 5
X0306
5
2022-01-01
0
0
1
0000048287
HNI CORP
HNI
0001835778
Hagedorn Jason Dean
600 EAST SECOND STREET
MUSCATINE
IA
52761
0
1
0
0
President, Allsteel Inc.
Common Stock
2021-02-12
4
M
0
L
863
36.95
A
16788.925
D
Common Stock
2021-02-12
4
F
0
L
308
36.95
D
16480.925
D
Common Stock
2021-03-31
5
A
0
48.276
0
A
16529.201
D
Common Stock
2021-07-02
5
A
0
44.688
0
A
16573.889
D
Common Stock
2021-10-01
5
A
0
50.295
0
A
16624.184
D
Common Stock
2021-12-31
5
A
0
45.463
0
A
16678.627
D
Common Stock
763.253
I
Profit-Sharing Retirement Plan
Restricted Stock Units
0.0
2021-02-12
4
M
0
L
863
0
D
2020-02-12
Common Stock
863.0
1727
D
Represents the conversion of Restricted Stock Units into Common Stock. On February 12, 2020, the reporting person was granted 2,590 Restricted Stock Units ("2020 Grant") to vest one-third per year in equal installments beginning on the first anniversary of the grant date. The first installment of 863 fully vested on February 12, 2021.
These shares were withheld by the Issuer to cover taxes upon vesting of the aggregate 555 shares of Common Stock that vested on February 12, 2021 pursuant to the 2020 Grant.
These shares were acquired during the fiscal year under the HNI Corporation Members' Stock Purchase Plan.
The total in column 5 includes reinvested dividends of 8.98 shares.
The total is column 5 includes 179.763 shares acquired under the HNI Corporation Profit-Sharing Retirement Plan.
Each restricted stock unit represents a contingent right to receive one share of Issuer's Common Stock.
On February 12, 2020, the reporting person was granted 2,590 Restricted Stock Units, vesting one-third per year in equal installments over a three year period, starting on the first anniversary of the 2020 Grant. The first installment of Restricted Stock Units vested on February 12, 2021. The second installment of Restricted United vested on February 12, 2022. The remaining Restricted Units will vest on February 12, 2023.
/s/ Steven M. Bradford, By Power of Attorney
2022-02-15