HNI Corporation (Exact Name of Registrant as Specified in Charter)



Similar documents
LENNOX INTERNATIONAL INC. (Exact name of registrant as specified in its charter)

ORIX KABUSHIKI KAISHA (Exact Name of Registrant as Specified in Its Charter)

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C FORM SD SPECIALIZED DISCLOSURE REPORT

Step 1: strengthening company management systems

How To Comply With The Supplier Ethics And Compliance Policy Of Xilinx

Semtech Corporation Conflict Minerals Report for the Year Ended December 31, 2015

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C FORM SD

GSV CAPITAL CORP. FORM 8-K. (Current report filing) Filed 04/28/15 for the Period Ending 04/28/15

Conflict Minerals Update Kelly St. Andre Bing Xu

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C FORM 8-K CURRENT REPORT

Gold supply chain due diligence

Practical Guidance for Market Participants in the Gold and Precious Metals Industry

SECURITIES AND EXCHANGE COMMISSION FORM 8-K. Current report filing

CERIDIAN CORPORATION

DIRECTV HOLDINGS LLC

REQUIRED TO CARRY OUT DUE DILIGENCE PROCESSORS OPT INTO A VOLUNTARY SELF-CERTIFICATION SCHEME

PACIFIC ETHANOL, INC. (Exact name of registrant as specified in its charter)

Briefing Note on the ICGLR Regional Certification Mechanism

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC FORM 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington D.C CURRENT REPORT

FEDERATED NATIONAL HOLDING COMPANY (Exact name of registrant as specified in its charter)

Supplier Quality Assurance Requirements Manual

IHEARTMEDIA CAPITAL I, LLC

Proposal for a REGULATION OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL

APPLE INC FORM 8-K. (Current report filing) Filed 06/06/14 for the Period Ending 06/06/14

SECURITIES AND EXCHANGE COMMISSION Washington, D.C FORM 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C FORM 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C FORM 8-K CURRENT REPORT

All Information must be complete or your company will not be added to our Approved Supplier Database.

Supply Chain Management

National American University Holdings, Inc.

Embraer S.A. Conflict Minerals Report For The Year Ended December 31, 2015

FEDERATED NATIONAL HOLDING COMPANY (Exact name of registrant as specified in its charter)

FORM 8-K SPDR GOLD TRUST SPONSORED BY WORLD GOLD TRUST SERVICES, LLC

FORM 8-A. WPT Enterprises, Inc.

BEAZER HOMES USA INC

PROTECTIVE LIFE INSURANCE CO 10-K/A. Annual report pursuant to section 13 and 15(d) Filed on 04/13/2010 Filed Period 12/31/2009

ABM INDUSTRIES INC /DE/

INTEGRATED SYSTEMS CONSULTING GROUP INC Filed by SAFEGUARD SCIENTIFICS INC

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C FORM 10-K/A. Amendment No. 1

QUALCOMM INC/DE FORM 8-K. (Current report filing) Filed 09/30/15 for the Period Ending 09/28/15

FORM 8-K. CREATIVE REALITIES, INC. (Exact name of registrant as specified in its charter)

VERIZON SUPPLIER CODE OF CONDUCT

SECURITIES AND EXCHANGE COMMISSION FORM 8-K. Current report filing

GULFPORT ENERGY CORPORATION

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C FORM 10-K

GLOBAL DEFENSE & NATIONAL SECURITY SYSTEMS, INC.

Due Diligence Guidance: towards conflict-free mineral supply chains

HARRIS INTERACTIVE INC

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C FORM 8-K

VISA INC. FORM 8-K. (Current report filing) Filed 02/27/15 for the Period Ending 02/27/15

Corinthian Colleges, Inc.

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C FORM 10-K

FORD MOTOR CREDIT COMPANY LLC

AMERUS GROUP CO/IA. FORM 8-K (Current report filing) Filed 8/15/2006 For Period Ending 8/14/2006

Supplier Quality Requirements Document (SQRD)

Conflict Minerals and the Importance of Transparency in Supply Chain Management

Delaware (State or other jurisdiction of incorporation)

JER INVESTORS TRUST INC (JERT) 8-K. Current report filing Filed on 01/29/2009 Filed Period 01/28/2009

JER INVESTORS TRUST INC (JERT) 8-K. Current report filing Filed on 04/11/2007 Filed Period 04/11/2007

UNITED STATES. SECURITIES AND EXCHANGE COMMISSION Washington, D.C FORM 8-K

MOOG INC. (Exact name of registrant as specified in its charter)

HOME LOAN SERVICING SOLUTIONS, LTD.

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C FORM 10-K

Healthcare Trust of America, Inc.

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C FORM 8-K CURRENT REPORT

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C FORM T-1

Certification and Due Diligence in Mineral Supply Chains Benefit or Burden?

ANALOG DEVICES INC FORM 8-K. (Current report filing) Filed 06/18/15 for the Period Ending 06/17/15

BUSINESS ASSOCIATE AGREEMENT

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C FORM 8-K CURRENT REPORT

Industry launches first integrated Conflict Minerals and RoHS, REACH web database for suppliers

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C FORM S-4 REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933

January 5, To Our Clients and Friends:

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C FORM 8-K CURRENT REPORT

Form 8-K. Shepherd s Finance, LLC (Exact name of registrant as specified in its charter)

Transcription:

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM SD Specialized Disclosure Report HNI Corporation (Exact Name of Registrant as Specified in Charter) Iowa 1-14225 42-0617510 (State or Other Jurisdiction of (Commission File Number) (IRS Employer Identification No.) Incorporation) 408 East Second Street, P.O. Box 1109, Muscatine, Iowa 52761-0071 (Address of Principal Executive Offices, Including Zip Code) Registrant s telephone number, including area code: (563) 272-7400 Check the appropriate box to indicate the rule pursuant to which this form is being filed, and provide the period to which the information in this form applies: Rule 13p-1 under the Securities Exchange Act (17 CFR 240.13p-1) for the reporting period from January 1 to December 31, 2014.

Section 1 Conflict Minerals Disclosure Item 1.01 Conflict Minerals Disclosure and Report Information required by this Item is incorporated by reference to the Conflict Minerals Report attached as Exhibit 1.01. A copy of this Form SD, including the HNI Corporation Conflict Minerals Report, is publicly available at www.hnicorp.com/who/vision/environment.htm. Any reference in this Report or the attached exhibit to our corporate website, and its contents, is provided for convenience only. The website and its contents are not incorporated by reference into this Report nor deemed filed with the Securities and Exchange Commission. Item 1.02 Exhibit Section 2 Exhibits Item 2.01 Exhibits Exhibit No. Description 1.01 Conflict Minerals Report required by Items 1.01 and 1.02 of this Form.

SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized. HNI Corporation Date: June 1, 2015 By: /s/ Steven M. Bradford Steven M. Bradford Senior Vice President, General Counsel and Secretary

Exhibit Index Exhibit No. Description 1.01 Conflict Minerals Report required by Items 1.01 and 1.02 of this Form.

EXHIBIT 1.01 HNI Corporation Conflict Minerals Report For the Year Ended December 31, 2014 1. Conflict Minerals Rule Overview This conflict minerals report of HNI Corporation (the Corporation, we or our) for the year ended December 31, 2014 is presented to comply with Rule 13p-1 under the Securities Exchange Act of 1934 (the Rule). The Rule imposes reporting obligations on Securities and Exchange Commission (SEC) registrants manufacturing or contracting to manufacture products containing conflict minerals necessary to the functionality or production of their products. Conflict Minerals are cassiterite, columbite-tantalite (also called coltan), gold, wolframite and their derivatives, limited to tin, tantalum, tungsten and gold (3TG). This report is not audited in accordance with the Rule and SEC guidance. 2. Overview of HNI Corporation The Corporation is a provider of office furniture and hearth products, with operations and sales globally. This report presents information for the Corporation and its consolidated subsidiaries. The Corporation categorizes its products in two segments, office furniture products and hearth products. 2.1 Office Furniture Products The Corporation designs, manufactures and markets a broad range of office furniture including panel systems, seating, storage, tables and desks. 2.2 Hearth Products The Corporation's line of hearth products includes a full range of gas, electric and wood-burning fireplaces, inserts, stoves, facings and accessories. 3. HNI Supply Chain Overview The Corporation is a global company, with sales throughout the world and manufacturing operations in the United States, China and India. Most of our suppliers are not SEC registrants and are not subject to SEC reporting requirements. In most instances, multiple supply chain layers exist between the Corporation and smelters or refiners. The Corporation does not have a direct relationship with 3TG smelters or refiners. The Corporation places responsibility on its direct suppliers for information regarding their suppliers. 4. Reasonable Country of Origin Inquiry The Corporation has adopted a conflict minerals policy. The policy has been communicated to suppliers and is publicly available at www.hnicorp.com under "Who We Are Environment". The Corporation conducted a reasonable country of origin inquiry for 2014. The Corporation evaluated supplied materials and components, including reviewing bills of materials, to determine products manufactured or contracted to be manufactured by the Corporation where 3TG were or could be present and necessary to the product's functionality. This analysis indicated 3TG present or potentially present in several office furniture and hearth product categories. The Corporation identified 368 suppliers in-scope for supplying materials and components potentially containing 3TG and necessary to the functionality of the Corporation's products. The Corporation then segmented in-scope suppliers into three categories based on the materials and components they supplied to the Corporation: (i) low risk for containing 3TG, (ii) medium risk for containing 3TG and (iii) high risk for containing 3TG.

The Corporation contacted each in-scope supplier to determine the presence of 3TG in materials and components sold by the supplier to the Corporation during the relevant period. Suppliers contacted by the Corporation were provided two alternatives for responding: Certify products sold to the Corporation did not contain 3TG; or Complete the reporting template created by the Electronics Industry Citizenship Coalition-Global e-sustainability Initiative (EICC-GeSI) and now administered by the Conflict Free Sourcing Initiative (CFSI). The Corporation sent a second request to any in-scope suppliers who failed to respond. The Corporation then focused on obtaining responses from high and medium risk suppliers. We received responses from approximately 80% of suppliers surveyed, representing approximately 86% of our aggregate spend with in-scope suppliers in 2014. Responses received from suppliers were reviewed by the Corporation's internal team. The Corporation identified red flags or suspected inconsistencies in the responses to determine where further due diligence was required. Our reasonable country of inquiry investigation did not produce sufficient information from suppliers regarding smelters and refiners to conclude whether 3TG in the Corporation's products originated in the countries covered by the Rule and, if so, whether the 3TG were from recycled or scrap sources or from conflict-free sources. 5. Design of Due Diligence Framework The Corporation designed its program to conform, in all material respects, with the OECD Due Diligence Guidance for Responsible Supply Chains of Minerals from Conflict-Affected and High-Risk Areas and the related Supplements for gold, tantalum, tin and tungsten. 6. Due Diligence Performed 6.1 Establish Company Management Systems Policy The Corporation's policy is publicly available at: www.hnicorp.com under "Who We Are Environment". Internal Team The Corporation's management system includes a leadership team of the Vice President, General Counsel and Secretary as the executive sponsor, and oversight and participation of the Director of Compliance, Vice President, Strategic Materials (oversight of office furniture procurement) and the Vice President, Procurement (oversight of hearth procurement). A core team conducted the compliance effort and provided updates and reported to the leadership team throughout the process. The core compliance team included representatives from the Corporation's Law, Procurement, Safety & Environmental and Rapid Continuous Improvement departments. Control Systems The Corporation primarily worked directly with its suppliers to determine upstream entities in the supply chain. The Corporation participated in a work group within the Business and Institutional Furniture Manufacturers Association (BIFMA) to identify common industry suppliers and centralize the engagement effort. Supplier Engagement and Training To educate our suppliers to the requirements of the Rule, the Corporation offered to its suppliers access to an online training and resource center. The Corporation also provided background materials and an overview of the Rule to suppliers it contacted. The Corporation amended the Supplier Code of Conduct to include a conflict minerals provision and its standard supply agreements to include a contractual provision addressing 3TG sourcing and information

Grievance Mechanism The Corporation's conflict minerals policy directs suppliers to report any policy violations or issues through the Corporation's Speak Up! ethics hotline. 6.2 Identify and Assess Risk in the Supply Chain The Corporation performed the following due diligence: established an internal team to create and implement our conflict minerals program; communicated the conflict minerals policy; communicated a grievance mechanism to report concerns; conducted an internal review, supplemented by a third-party service provider, to identify the 368 suppliers of materials, products and components containing or potentially containing 3TG; contacted each in-scope supplier requesting information about 3TG in items supplied to the Corporation; sent reminder letters, and for high and medium risk suppliers followed up by telephone after sending a reminder letter, to suppliers who did not respond to our request; audited a subset of supplier responses by sending a follow-up request to those suppliers inquiring about the process used to respond to our request; reviewed responses, including the EICC-GeSI/CFSI reporting templates, from suppliers; reviewed when certain red flags were present in responses; and compared smelter information received from supplier responses against the CFSI conflict-free smelter list. 6.3 Strategy to Respond to Identified Risks The Corporation developed a plan for addressing red flags and conducting due diligence on supplier responses requiring follow-up. The plan took into account the risk-based categorization of the supplied product in determining the appropriate level of follow-up. The core compliance team provided regular updates to the executive sponsors and senior leadership throughout the compliance effort. We have not terminated any suppliers during the course of due diligence. Our conflict minerals policy provides for engagement with any supplier not complying with our policy and, if compliance cannot be attained within a reasonable period, the option sourcing from a new supplier. Currently, given the lack of infrastructure and transparency to determine if 3TG support conflict in the covered countries, we do not expect to terminate any suppliers because options for replacement suppliers able to certify conflict-free sourcing are limited. 6.4 Independent Third-Party Audit The Corporation is several layers removed from the smelters where 3TG minerals are processed and is not well-positioned to require or implement audits of these smelters. The Corporation is relying on the efforts of CFSI and industry group efforts to conduct smelter audits. 6.5 Report Annually on Supply Chain Due Diligence Following the conclusion of the Corporation's conflict minerals effort for 2014, a report was provided to the Corporation's senior leadership team. This Conflict Minerals Report details the design and implementation of the Corporation's compliance effort and provides an overview of engagement with suppliers. This Conflict Minerals Report is available on the Corporation's website at www.hnicorp.com under "Who We Are Environment".

7. Other Required Disclosures 7.1 Smelters Most suppliers who responded to our request and indicated the presence of 3TG in the products they supply did not provide a smelter list. Of the suppliers who provided a smelter list, most provided information at a company level, as opposed to a part-number level. Therefore, the Corporation could not determine whether smelter names provided were used in the supply of products to the Corporation. The Corporation has elected not to provide smelter information in this Report, but on an aggregated basis received smelter lists identifying 436 smelters, including approximately 178 gold smelters, 35 tantalum smelters, 162 tin smelters and 61 tungsten smelters. The Corporation then compared those smelters to the conflict-free smelter list maintained on the CFSI website. The comparison indicated 63 conflict-free gold smelters, 29 conflict-free tantalum smelters, 29 conflict-free tin smelters and 12 conflict-free tungsten smelters. Certain of the Corporation's suppliers indicated 3TG present in the products they supplied originated solely from scrap or recycled sources. The Corporation will work with those suppliers to understand where the 3TG minerals were smelted to verify they are recycled or scrap sources.

7.2 Identifying Mines The Corporation believes the assessment of smelters is the most effective way to identify the source and chain of custody of the minerals, and expects to continue working with its suppliers to identify smelters used in the supply of products to the Corporation. 7.3 Risk Mitigation Steps The Corporation intends to take the following steps to improve our due diligence process and further mitigate risk: Amended the Supplier Code of Conduct to include a conflict minerals provision and its standard supply agreements to include a contractual provision addressing 3TG sourcing and information. Continue to provide training to and engage with our suppliers to obtain more complete and accurate responses to our inquiries.