SEC FORM 3

SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person^*

Berger Vincent P

(Last)

(First)

(Middle)

408 EAST SECOND STREET

(Street)

MUSCATINE

52761

(City)

(State)

(Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
05/10/2016

3. Issuer Name and Ticker or Trading Symbol
HNI CORP [ HNI ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

	Director	10% Owner
X	Officer (give title below)	Other (specify below)
	President, Hearth & Home Tech

5. If Amendment, Date of Original Filed (Month/Day/Year)

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 Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock	3,508.832⁽¹⁾⁽²⁾	D
Common Stock	582.8409	I	Profit-Sharing Retirement

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
1. Title of Derivative Security (Instr. 4)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
Restricted Stock Units	02/12/2017	02/12/2017	Common Stock	3,000	$0⁽³⁾	D
Non-qualifying employee stock option (right to buy)	02/17/2014⁽⁴⁾	02/17/2020	Common Stock	8,739	$23.99	D
Non-qualifying employee stock option (right to buy)	02/16/2015⁽⁴⁾	02/16/2021	Common Stock	3,500	$31.98	D
Non-qualifying employee stock option (right to buy)	02/16/2015⁽⁴⁾	02/16/2021	Common Stock	3,831	$31.98	D
Non-qualifying employee stock option (right to buy)	02/15/2016⁽⁴⁾	02/15/2022	Common Stock	5,996	$25.46	D
Non-qualifying employee stock option (right to buy)	02/13/2017⁽⁵⁾	02/13/2023	Common Stock	4,628	$31.79	D
Non-qualifying employee stock option (right to buy)	02/12/2018⁽⁵⁾	02/12/2024	Common Stock	4,084	$34.78	D
Non-qualifying employee stock option (right to buy)	02/18/2019⁽⁵⁾	02/18/2025	Common Stock	4,965	$51.54	D
Non-qualifying employee stock option (right to buy)	02/17/2020⁽⁵⁾	02/17/2026	Common Stock	11,574	$32.03	D

Explanation of Responses:

1. Includes 7.543 shares acquired during fiscal year 2016 under the HNI Corporation 2002 Member Stock Purchase Plan at prices ranging from $33.618 to $36.76 per share. The information is as of May 10, 2016. Shares acquired during a given fiscal year under the HNI Corporation 2002 Member Stock Purchase Plan are reported in the aggregate on Form 5 following the end of such fiscal year.

2. Includes a total of 1,674 shares granted to the reporting person under the HNI Corporation Supplemental Income Plan and 327.8320 shares acquired under the HNI Corporation 2002 Member Stock Purchase Plan. The information is current as of May 10, 2016.

3. Each restricted stock unit represents a contingent right to receive one share of HNI Corporation Common Stock.

4. The option became fully vested and exercisable in one installment on the fourth anniversary of the date of grant.

5. The option will become fully vested and exercisable in one installment on the fourth anniversary of the date of grant.

	/s/ Steven M. Bradford, By Power of Attorney	05/20/2016
	** 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 5 (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.
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