0000029332-23-000048.txt : 20230526 0000029332-23-000048.hdr.sgml : 20230526 20230526162513 ACCESSION NUMBER: 0000029332-23-000048 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230525 FILED AS OF DATE: 20230526 DATE AS OF CHANGE: 20230526 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DAVIS W DEREK CENTRAL INDEX KEY: 0001196587 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-02585 FILM NUMBER: 23969344 MAIL ADDRESS: STREET 1: PO BOX 2007 CITY: DALTON STATE: GA ZIP: 30722 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: 1231 BUSINESS ADDRESS: STREET 1: PO BOX 2007 CITY: DALTON STATE: GA ZIP: 30722 BUSINESS PHONE: 7068765814 MAIL ADDRESS: STREET 1: PO BOX 2007 CITY: DALTON STATE: GA ZIP: 30722 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 wf-form4_168513264742548.xml FORM 4 X0407 4 2023-05-25 0 0000029332 DIXIE GROUP INC DXYN 0001196587 DAVIS W DEREK PO BOX 2007 DALTON GA 30722 0 1 0 0 VP HR/ Corporate Secretary 0 Employee Stock Option (right to buy) 1.0 2023-05-25 4 A 0 20000 0 A 2025-05-25 2028-05-25 Employee Stock Option (right to buy) 20000.0 20000 D The options have a five year term from the date of grant and must meet a minimum two year holding period and achieve a performance target of $3.00 per share for five consecutive trading days during the term of the option to become exercisable. /s/ John F. Henry, Jr., by power of attorney for W. Derek Davis 2023-05-26