Statement of Changes in Beneficial Ownership (4)

Date : 12/07/2017 @ 6:32PM
Source : Edgar (US Regulatory)
Stock : Hni Corp. (HNI)
Quote : 34.95  0.0 (0.00%) @ 2:05AM

Statement of Changes in Beneficial Ownership (4)

FORM 4
[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).         
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
                                                                                  
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
                      

1. Name and Address of Reporting Person *

ASKREN STANLEY A
2. Issuer Name and Ticker or Trading Symbol

HNI CORP [ HNI ]
5. Relationship of Reporting Person(s) to Issuer (Check all applicable)

__ X __ Director                      _____ 10% Owner
__ X __ Officer (give title below)      _____ Other (specify below)
Chairman, President & CEO
(Last)          (First)          (Middle)

600 EAST SECOND STREET
3. Date of Earliest Transaction (MM/DD/YYYY)

12/5/2017
(Street)

MUSCATINE, IA 52761
(City)        (State)        (Zip)
4. If Amendment, Date Original Filed (MM/DD/YYYY)

 
6. Individual or Joint/Group Filing (Check Applicable Line)

_ X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Trans. Date 2A. Deemed Execution Date, if any 3. Trans. Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock   12/5/2017     M    4762   A $10.36   214750.2604   D    
Common Stock   12/5/2017     S (1) (2)    3052   D $33.828   211698.2604   D    
Common Stock   12/6/2017     M    4762   A $10.36   216460.2604   D    
Common Stock   12/6/2017     S (1) (2)    3059   D $33.486   (3) 213401.2604   D    
Common Stock                  10063.71   I   Profit Sharing Retirement Plan  
Common Stock                  657   I   By Son   (4)
Common Stock                  657   I   By Son   (4)

Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Trans. Date 3A. Deemed Execution Date, if any 4. Trans. Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
6. Date Exercisable and Expiration Date 7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Non-qualifying employee stock option (right to buy)   $10.36   12/5/2017     M         4762    2/23/2013   2/23/2019   Common Stock   4762.0   $0   28566   D    
Non-qualifying employee stock option (right to buy)   $10.36   12/6/2017     M         4762    2/23/2013   2/23/2019   Common Stock   4762.0   $0   23804   D    

Explanation of Responses:
(1)  The sale was effected pursuant to a Rule 10b5-1 of the Securities and Exchange Act of 1934, as amended, and HNI's policies regarding stock transactions, including its insider trading policy.
(2)  Reflects the sale to cover exercise price of, and taxes related to, cashless exercise of stock options.
(3)  The price in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $33.45 - $33.54, inclusive. The reporting person undertakes to provide HNI Corporation, any security holder of HNI Corporation, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in this footnote to this Form 4.
(4)  Reporting person disclaims beneficial ownership of these shares.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director 10% Owner Officer Other
ASKREN STANLEY A
600 EAST SECOND STREET
MUSCATINE, IA 52761
X
Chairman, President & CEO

Signatures
/s/Julie Abramowski, By Power of Attorney 12/7/2017
** Signature of Reporting Person Date


Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.

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