Sec Form 4 Filing - Hagedorn Jason Dean @ HNI CORP - 2022-02-12

Insider filing report for Changes in Beneficial Ownership
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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
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Hagedorn Jason Dean
2. Issuer Name and Ticker or Trading Symbol
HNI CORP [ HNI]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
President, Allsteel Inc.
(Last) (First) (Middle)
600 EAST SECOND STREET
3. Date of Earliest Transaction (MM/DD/YY)
02/12/2022
(Street)
MUSCATINE, IA52761
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction 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 02/12/2022 M( 1 ) 863 A $ 41.93 17,541.627 D
Common Stock 02/12/2022 F( 2 ) 308 D $ 41.93 17,233.627 D
Common Stock 763.253 I Profit-Sharing Retirement Plan
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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
Restricted Stock Units $ 0( 3 ) 02/12/2022 M( 1 ) 863 02/12/2020 ( 4 ) Common Stock 863 $ 0 864 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Hagedorn Jason Dean
600 EAST SECOND STREET
MUSCATINE, IA52761
President, Allsteel Inc.
Signatures
/s/ Steven M. Bradford, By Power of Attorney 02/15/2022
Signature of Reporting Person Date
Explanation of Responses:
( 1 )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 in equal installments over a three year period beginning on the first anniversary of the grant date. The first installment of 863 fully vested on February 12, 2021. The second installment of 863 fully vested on February 12, 2022.
( 2 )The reporting person is reporting the withholding by the Issuer of an aggregate 308 shares of Common Stock that vested on February 12, 2022 pursuant to the 2020 Grant, but that were not issued in order to satisfy the reporting person's tax withholding obligations.
( 3 )Each restricted stock unit represents a contingent right to receive one share of Issuer's Common Stock.
( 4 )On February 12, 2020, the reporting person was granted 2,590 Restricted Stock Units, to vest one-third in equal installments over a three year period beginning on the first anniversary of the grant date. The first installment of Restricted Stock Units vested on February 12, 2021 and the second installment of Restricted Stock Units vested on February 12, 2022. The third installment to vest on February 12, 2023.

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* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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