-----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, OSVOYMnsD5PCRPH0topmja9n0rckZoOpEV33pvPbXo46xLRitorCtSL/oao/ilQ3 J5P/VTETQ6seJx0v1z1j+Q== 0001196582-04-000001.txt : 20040223 0001196582-04-000001.hdr.sgml : 20040223 20040223165557 ACCESSION NUMBER: 0001196582-04-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040219 FILED AS OF DATE: 20040223 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: 1225 BUSINESS ADDRESS: STREET 1: P O BOX 12542 CITY: CALHOUN STATE: GA ZIP: 307037010 BUSINESS PHONE: 7066257980 MAIL ADDRESS: STREET 1: P O BOX 12542 CITY: CALHOUN STATE: GA ZIP: 307037010 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: BROCK J DON CENTRAL INDEX KEY: 0001103175 STANDARD INDUSTRIAL CLASSIFICATION: CONSTRUCTION MACHINERY & EQUIP [3531] STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-02585 FILM NUMBER: 04622541 BUSINESS ADDRESS: STREET 1: 4101 JEROME AVE CITY: CHATTANOOGA STATE: TN ZIP: 37407 BUSINESS PHONE: 4236984527 MAIL ADDRESS: STREET 1: 4101 JEROME AVE CITY: CHATTANOOGA STATE: TN ZIP: 37407 4 1 primary_doc.xml PRIMARY DOCUMENT X0201 4 2004-02-19 0 0000029332 DIXIE GROUP INC DXYN 0001103175 BROCK J DON 4101 JEROME AVE CHATTANOOGA TN 37407 1 0 0 0 Stock Option (Right to Buy) 12.18 2004-02-19 4 A 0 2500 A 2014-02-19 Common Stock, $3.00 par value 2500 2500 D The reported transaction represents an option under the Issuer's 2000 Incentive Stock Plan which becomes exercisable in four equal annual installments of 625 shares each, commencing 2/19/2006, 2/19/2007, 2/19,2008 and 2/19,2009, respectively. John F. Henry, Jr. for J. Don Brock 2004-02-23 -----END PRIVACY-ENHANCED MESSAGE-----