-----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, FVRyXAW9G2+Q+YRqUF5LyvLJsBeN7go4LA0BYP9VRmA9gCOzc7UqmmJeCwrwmWdA FAWpKvlm9mqElAxdyfTQRw== 0000029332-09-000083.txt : 20091104 0000029332-09-000083.hdr.sgml : 20091104 20091104154024 ACCESSION NUMBER: 0000029332-09-000083 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091104 FILED AS OF DATE: 20091104 DATE AS OF CHANGE: 20091104 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: 1226 BUSINESS ADDRESS: STREET 1: 2208 S. HAMILTON STREET CITY: DALTON STATE: GA ZIP: 307214974 BUSINESS PHONE: 7068765814 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FAULKNER JON A CENTRAL INDEX KEY: 0001196590 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-02585 FILM NUMBER: 091157687 MAIL ADDRESS: STREET 1: 2208 S. HAMILTON STREET CITY: DALTON STATE: GA ZIP: 30721-4974 4 1 primary_doc.xml PRIMARY DOCUMENT X0303 4 2009-11-04 0 0000029332 DIXIE GROUP INC DXYN 0001196590 FAULKNER JON A 2208 S. HAMILTON STREET DALTON GA 30721-4974 0 1 0 0 VP & CFO Nonqualified Employee Stock Option/Right to Buy Common Stock 5 2009-11-04 4 A 0 11000 0 A 2010-11-04 2019-11-04 Common Stock, $3 par value 11000 57200 D Non-qualified option to acquire 11,000 shares of Common Stock of The Dixie Group, Inc. The option vests pro-rata over 4 years, beginning 11-4-2010. The term of the option is 10 years, expiring 11/4/2019. /s/ John F. Henry, Jr., by power of attorney for Jon A. Faulkner 2009-11-04 -----END PRIVACY-ENHANCED MESSAGE-----