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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Restricted Stock Units
|
02/12/2017 |
02/12/2017 |
Common Stock
|
3,000
|
$
0
(3)
|
D
|
Â
|
Non-qualifying employee stock option (right to buy)
|
02/17/2014(4)
|
02/17/2020 |
Common Stock
|
8,739
|
$
23.99
|
D
|
Â
|
Non-qualifying employee stock option (right to buy)
|
02/16/2015(4)
|
02/16/2021 |
Common Stock
|
3,500
|
$
31.98
|
D
|
Â
|
Non-qualifying employee stock option (right to buy)
|
02/16/2015(4)
|
02/16/2021 |
Common Stock
|
3,831
|
$
31.98
|
D
|
Â
|
Non-qualifying employee stock option (right to buy)
|
02/15/2016(4)
|
02/15/2022 |
Common Stock
|
5,996
|
$
25.46
|
D
|
Â
|
Non-qualifying employee stock option (right to buy)
|
02/13/2017(5)
|
02/13/2023 |
Common Stock
|
4,628
|
$
31.79
|
D
|
Â
|
Non-qualifying employee stock option (right to buy)
|
02/12/2018(5)
|
02/12/2024 |
Common Stock
|
4,084
|
$
34.78
|
D
|
Â
|
Non-qualifying employee stock option (right to buy)
|
02/18/2019(5)
|
02/18/2025 |
Common Stock
|
4,965
|
$
51.54
|
D
|
Â
|
Non-qualifying employee stock option (right to buy)
|
02/17/2020(5)
|
02/17/2026 |
Common Stock
|
11,574
|
$
32.03
|
D
|
Â
|
* |
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). |
(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. |