EX-10.3
from 10-Q
2 pages
Participation Agreement 2017 Equity Plan for Non-Employee Directors of HNI Corporation This Participation Agreement (This "Agreement") Between (Print Name) ("Director") and HNI Corporation (The "Corporation") Is for the Period Commencing and Ending December 31, , and Is Subject to All of the Terms and Conditions of the 2017 Equity Plan for Non-Employee Directors of HNI Corporation (The "Plan") and Any Successor Plan. I Elect to Receive % of My Director Cash Compensation Paid in the Form of HNI Common Stock in Accordance With the Terms of the Plan. Dated , . Director Please Complete This Agreement and Return It to the Corporation's Vice President, Member Relations, Before , Should You Wish to Participate. Received and Accepted by HNI Corporation This Day of , . HNI Corporation By: Name: Title
12/34/56