0001101396-17-000024.txt : 20170614 0001101396-17-000024.hdr.sgml : 20170614 20170614174916 ACCESSION NUMBER: 0001101396-17-000024 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170613 FILED AS OF DATE: 20170614 DATE AS OF CHANGE: 20170614 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DELTA APPAREL, INC CENTRAL INDEX KEY: 0001101396 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-APPAREL, PIECE GOODS & NOTIONS [5130] IRS NUMBER: 582508794 STATE OF INCORPORATION: GA FISCAL YEAR END: 0927 BUSINESS ADDRESS: STREET 1: 322 S. MAIN STREET CITY: GREENVILLE STATE: SC ZIP: 29601 BUSINESS PHONE: 864-232-5200 MAIL ADDRESS: STREET 1: 322 S. MAIN STREET CITY: GREENVILLE STATE: SC ZIP: 29601 FORMER COMPANY: FORMER CONFORMED NAME: DELTA APPAREL INC DATE OF NAME CHANGE: 19991221 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Merrill Deborah H CENTRAL INDEX KEY: 0001355249 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15583 FILM NUMBER: 17912008 MAIL ADDRESS: STREET 1: 2750 PREMIERE PARKWAY CITY: DULUTH STATE: GA ZIP: 30097 4 1 wf-form4_149747694165557.xml FORM 4 X0306 4 2017-06-13 0 0001101396 DELTA APPAREL, INC DLA 0001355249 Merrill Deborah H 322 S. MAIN ST. GREENVILLE SC 29601 0 1 0 0 CFO & President, Delta Basics Common Stock 2017-06-13 4 M 0 40000 8.30 A 94738 D Common Stock 2017-06-13 4 F 0 24039 21.16 D 70699 D Employee Stock Option (right to buy) 8.3 2017-06-13 4 M 0 40000 0 D 2009-02-08 2018-02-08 Common Stock 40000.0 0 D The shares disposed were withheld by Delta Apparel, Inc. for payment of the exercise price and tax liability incident to the exercise of the option referenced in Table II. The option vested and became exercisable on February 8, 2009. The option expires on February 8, 2018. /s/Deborah H. Merrill 2017-06-14