0000048287-24-000016.txt : 20240208 0000048287-24-000016.hdr.sgml : 20240208 20240208144452 ACCESSION NUMBER: 0000048287-24-000016 CONFORMED SUBMISSION TYPE: 3/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230601 FILED AS OF DATE: 20240208 DATE AS OF CHANGE: 20240208 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SMITH KOURTNEY L CENTRAL INDEX KEY: 0001651053 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 3/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-14225 FILM NUMBER: 24608482 MAIL ADDRESS: STREET 1: 1600 ROYAL STREET CITY: JASPER STATE: IN ZIP: 47549 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HNI CORP CENTRAL INDEX KEY: 0000048287 STANDARD INDUSTRIAL CLASSIFICATION: OFFICE FURNITURE (NO WOOD) [2522] ORGANIZATION NAME: 04 Manufacturing IRS NUMBER: 420617510 STATE OF INCORPORATION: IA FISCAL YEAR END: 1230 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 3/A 1 wk-form3a_1707421480.xml FORM 3/A X0206 3/A 2023-06-01 2023-06-12 0 0000048287 HNI CORP HNI 0001651053 SMITH KOURTNEY L 600 E. 2ND STREET MUSCATINE IA 52761 0 1 0 0 COO, Kimball International Common Stock 31537 D Includes 10,973 shares of common stock of Issuer received by Ms. Smith in respect of her shares of common stock of Kimball International, Inc. ("Kimball") pursuant to the Agreement and Plan of Merger, dated as of March 7, 2023, by and among Issuer, Ozark Merger Sub Inc. and Kimball ("the Merger Agreement"), and 20,564 shares of common stock of Issuer underlying restricted stock units that were converted from Kimball restricted stock units pursuant to the Merger Agreement. This Form 3 is being amended to include 70 shares of common stock of the Issuer that were inadvertently omitted from the reporting person's original Form 3, which shares were also omitted from one Form 4 filed by the reporting person after her original Form 3 was filed. /s/ Steven M. Bradford, By Power or Attorney 2024-02-08