-----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, PsNlvUPQlqILMwcBHqBtDPlyvLEEr/x8YmsdRrnGzaVR2X5qyF1ESoRKx0Ulz1Xw CIRrDGauhlimTrKnnerJcg== 0000029332-09-000063.txt : 20090908 0000029332-09-000063.hdr.sgml : 20090907 20090908150141 ACCESSION NUMBER: 0000029332-09-000063 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090908 FILED AS OF DATE: 20090908 DATE AS OF CHANGE: 20090908 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: POLLEY DAVID E CENTRAL INDEX KEY: 0001212723 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-02585 FILM NUMBER: 091057924 MAIL ADDRESS: STREET 1: P. O BOX 25107 CITY: CHATTANOOGA STATE: TN ZIP: 37422-5107 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DIXIE GROUP INC CENTRAL INDEX KEY: 0000029332 STANDARD INDUSTRIAL CLASSIFICATION: CARPETS AND RUGS [2273] IRS NUMBER: 620183370 STATE OF INCORPORATION: TN FISCAL YEAR END: 1229 BUSINESS ADDRESS: STREET 1: 2208 S. HAMILTON STREET CITY: DALTON STATE: GA ZIP: 307214974 BUSINESS PHONE: 7068765851 MAIL ADDRESS: STREET 1: 2208 S. HAMILTON STREET CITY: DALTON STATE: GA ZIP: 307214974 FORMER COMPANY: FORMER CONFORMED NAME: DIXIE YARNS INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: DIXIE MERCERIZING CO DATE OF NAME CHANGE: 19670524 4 1 primary_doc.xml PRIMARY DOCUMENT X0303 4 2009-09-08 0 0000029332 DIXIE GROUP INC DXYN 0001212723 POLLEY DAVID E P. O BOX 25107 CHATTANOOGA TN 37422-5107 0 1 0 0 Vice President, Marketing Common Stock, $3 par value 2009-09-08 4 J 0 1087.1612 0 A 90963 D Amount represents allocation to 401(k) account by Company valued at $3.04 per share. Total includes 1,087.1612 share held in the reporting person's 401(k) plan account. /s/ John F. Henry, Jr., by Power of Attorney for David E. Polley 2009-09-08 -----END PRIVACY-ENHANCED MESSAGE-----