0001140361-13-004108.txt : 20130201 0001140361-13-004108.hdr.sgml : 20130201 20130201122239 ACCESSION NUMBER: 0001140361-13-004108 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121231 FILED AS OF DATE: 20130201 DATE AS OF CHANGE: 20130201 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: 1229 BUSINESS ADDRESS: STREET 1: 408 EAST SECOND STREET - PO BOX 1109 CITY: MUSCATINE STATE: IA ZIP: 52761-7109 BUSINESS PHONE: 5632727400 MAIL ADDRESS: STREET 1: 408 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DITTMER JERALD K CENTRAL INDEX KEY: 0001194570 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14225 FILM NUMBER: 13565718 MAIL ADDRESS: STREET 1: 408 EAST SECOND STREET STREET 2: PO BOX 1109 CITY: MUSCATINE STATE: IA ZIP: 52761 5 1 doc1.xml FORM 5 X0306 5 2012-12-31 0 0 0 0000048287 HNI CORP HNI 0001194570 DITTMER JERALD K 408 EAST SECOND STREET MUSCATINE IA 52761 0 1 0 0 Executive VP Common Stock 2012-12-31 5 A 0 504.8146 0.00 A 25467.9906 D Common Stock 2012-12-31 5 A 0 388.1636 0.00 A 6144.3092 I Profit-Sharing Retirement These shares were acquired during the fiscal year under the HNI Corporation 2002 Members' Stock Purchase Plan at prices ranging from $21.684 to $29.01. The information is as of December 31, 2012. These shares were acquired during the fiscal year under the HNI Corporation Profit-Sharing Retirement Plan. The information is as of December 31, 2012. Jerald K. Dittmer 2013-01-20