-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, IPD4rIShNHFqhzLV74GVzYPOQx2Z4uqL0PUOSIMJS7Aud7DES3TQMuDTFqIc8yMh 9B8ySOoMrZL460JaqOEWJw== 0001209191-09-056193.txt : 20091209 0001209191-09-056193.hdr.sgml : 20091209 20091209162758 ACCESSION NUMBER: 0001209191-09-056193 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091208 FILED AS OF DATE: 20091209 DATE AS OF CHANGE: 20091209 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SAMSON AMY V CENTRAL INDEX KEY: 0001242128 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07604 FILM NUMBER: 091231266 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CROWN CRAFTS INC CENTRAL INDEX KEY: 0000025895 STANDARD INDUSTRIAL CLASSIFICATION: BROADWOVEN FABRIC MILLS, COTTON [2211] IRS NUMBER: 580678148 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: 916 SOUTH BURNSIDE AVENUE CITY: GONZALES STATE: LA ZIP: 70737 BUSINESS PHONE: 225-647-9100 MAIL ADDRESS: STREET 1: PO BOX 1028 CITY: GONZALES STATE: LA ZIP: 70707 4 1 doc4.xml FORM 4 SUBMISSION X0303 4 2009-12-08 0 0000025895 CROWN CRAFTS INC CRWS 0001242128 SAMSON AMY V P.O. BOX 1028 GONZALES LA 70707-1028 0 1 0 0 VP/Chief Accounting Officer Common Stock 2009-12-08 4 M 0 2500 2.3125 A 166112 D Common Stock 2009-12-08 4 M 0 5000 1.0625 A 171112 D Common Stock 2009-12-08 4 F 0 5259 2.60 D 165853 D Non-Qualified Stock Option (Right to Buy) 2.3125 2009-12-08 4 M 0 2500 0.00 D 2001-12-28 2009-12-28 Common Stock 2500 0 D Non-Qualified Stock Option (Right to Buy) 1.0625 2009-12-08 4 M 0 5000 0.00 D 2001-07-07 2010-07-07 Common Stock 5000 0 D This transaction represents the withholding of 5,259 shares of common stock to satisfy the exercise price and tax withholding obligations incurred by the Reporting Person upon the exercise of the options granted to the Reporting Person on December 28, 1999 and July 7, 2000. Olivia Elliott on behalf of Amy V. Samson 2009-12-09 -----END PRIVACY-ENHANCED MESSAGE-----