-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, EXlL3lSFMrBn3T74mSp6KKMGXKnnIvvOviC8/08VY27MuFASA/KTNysuW9skyF5R p57Kaw0FM+/AjtCtwDLnQA== 0001209191-05-005193.txt : 20050127 0001209191-05-005193.hdr.sgml : 20050127 20050127172847 ACCESSION NUMBER: 0001209191-05-005193 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20050125 FILED AS OF DATE: 20050127 DATE AS OF CHANGE: 20050127 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JORGENSEN DWAIN C CENTRAL INDEX KEY: 0001184974 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24100 FILM NUMBER: 05554864 BUSINESS ADDRESS: STREET 1: 4315 ARBOR LANE NW CITY: ROCHESTER STATE: MN ZIP: 55901 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HMN FINANCIAL INC CENTRAL INDEX KEY: 0000921183 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035] IRS NUMBER: 411777397 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1016 CIVIC CENTER DRIVE NORTHWEST CITY: ROCHESTER STATE: MN ZIP: 55901 BUSINESS PHONE: 5075351200 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2005-01-25 0 0000921183 HMN FINANCIAL INC HMNF 0001184974 JORGENSEN DWAIN C 4315 ARBOR LN NW ROCHESTER MN 55901 0 1 0 0 SENIOR VICE PRESIDENT COMMON STOCK 2005-01-25 4 A 0 784 0.00 A 38482 D COMMON STOCK 1877 I SPOUSE MARCIA JORGENSEN COMMON STOCK 13423 I ESOP ALLOCATION COMMON STOCK 3606 I 401(K) OPTION TO BUY 16.13 2010-04-16 2012-04-15 COMMON STOCK 102 102 D OPTION TO BUY 16.13 2011-04-16 2012-04-15 COMMON STOCK 6199 6301 D OPTION TO BUY 16.13 2012-01-01 2012-04-15 COMMON STOCK 6199 12500 D OPTION TO BUY 27.66 2005-03-03 2014-03-03 COMMON STOCK 1194 1194 D OPTION TO BUY 27.66 2006-03-03 2014-03-03 COMMON STOCK 1193 2387 D OPTION TO BUY 27.66 2007-03-03 2014-03-03 COMMON STOCK 1193 3580 D Number of shares shown for ESOP holding includes allocation for the year ended Dec 31, 2004. Number of shares shown for 401(k) holdings reflect automatic purchases within the plan during 2004. JON EBERLE FOR DWAIN JORGENSEN, BY POWER OF ATTORNEY 2005-01-27 EX-24.4_70199 2 poa.txt POA DOCUMENT POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, that Dwain C. Jorgensen whose signature appears below constitutes and appoints Jon J. Eberle or Dwain C. Jorgensen, or either of them, his true and lawful attorneys-in-fact and agents, with full power of substitution and re-substitution, for him and in his name, place and stead, in any and all capacities, to sign any report filed pursuant to Section 16 of the Securities Exchange Act of 1934, as amended, including any Form 3, Form 4 or Form 5 and all amendments to any such documents, if any, and to file the same, with any exhibits thereto, with the Securities and Exchange Commission (or other appropriate governmental authority for such purpose), granting unto said attorneys-in-fact and agents full power and authority to do and perform each and every act and thing requisite and necessary to be done, as fully to all intents and purposes as he might or could do in person, hereby ratifying and confirming all said attorneys-in-fact and agents or their substitutes or substitute may lawfully do or cause to be done by virtue hereof. /s/ Dwain C. Jorgensen Dwain C. Jorgensen -----END PRIVACY-ENHANCED MESSAGE-----