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