0000950103-23-008722.txt : 20230612 0000950103-23-008722.hdr.sgml : 20230612 20230612122205 ACCESSION NUMBER: 0000950103-23-008722 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20230601 FILED AS OF DATE: 20230612 DATE AS OF CHANGE: 20230612 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SMITH KOURTNEY L CENTRAL INDEX KEY: 0001651053 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14225 FILM NUMBER: 231007522 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] 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 1 dp195002_3-smith.xml FORM 3 X0206 3 2023-06-01 0 0000048287 HNI CORP HNI 0001651053 SMITH KOURTNEY L 600 EAST SECOND STREET MUSCATINE IA 52761 0 1 0 0 Chief Operating Officer Common Stock 31467 D Includes 10,903 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. Exhibit List - Exhibit 24 - Power of Attorney /s/ Steven M. Bradford as attorney-in-fact for Kourtney L. Smith 2023-06-12 EX-24 2 dp195002_ex24.htm EXHIBIT 24

EXHIBIT 24

 

POWER OF ATTORNEY

 

The undersigned hereby constitutes and appoints each of Marshall H. Bridges, Steven M. Bradford, and Julie M. Abramowski, signing singly, and with full power of substitution, the undersigned's true and lawful attorneyin- fact to:

 

(1) prepare, execute in the undersigned's name and on the undersigned's behalf, and submit to the U.S. Securities and Exchange Commission (the "SEC") a Form ID, including amendments thereto, and any other documents necessary or appropriate to obtain codes and passwords enabling the undersigned to make electronic filings with the SEC of reports required by Section 16(a) of the Securities Exchange Act of 1934 or any rule or regulation of the SEC;

 

(2) execute for an on behalf of the undersigned, in the undersigned's capacity as an officer and/or director of HNI Corporation (the "Company"), Forms 3, 4, and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder;

 

(3) do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4, or 5, complete and execute any amendment or amendments thereto, and timely file such form with the SEC and any securities exchange, national association or similar authority; and

 

(4) take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interests of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's discretion.

 

The undersigned hereby grants to each such attorney-in-fact, acting singly, full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this Power of Attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorney-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934. The undersigned hereby agrees to indemnify the attorney-in-fact and the Company from and against any demand, damage, loss, cost or expense arising from any false or misleading information provided by the undersigned to the attorney-in-fact.

 

This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4, and 5 with respect to the undersigned's holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact.

 

IN WITNESS WHEREOF, the undersigned has caused this Power, of Attorney to be executed as of this 1st day of June 2023.

 

 

  Kourtney Smith
   
  /s/ Kourtney Smith