-----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, S+kwmpCHpMAWG9fcM/DZDxF2fPrN5EXtgU/xzqrVh17G2lf3u6kjsCUODDlNn3ga W9m9nfvF89z9Mzsoly2dqw== 0001196587-04-000001.txt : 20040226 0001196587-04-000001.hdr.sgml : 20040226 20040226110117 ACCESSION NUMBER: 0001196587-04-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040224 FILED AS OF DATE: 20040226 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: DAVIS W DEREK CENTRAL INDEX KEY: 0001196587 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-02585 FILM NUMBER: 04629412 BUSINESS ADDRESS: STREET 1: 736 MARKET ST STREET 2: STE 1100 CITY: CHATTANOOGA STATE: TN ZIP: 37402 BUSINESS PHONE: 423 265 8881 MAIL ADDRESS: STREET 1: 185 S INDUSTRIAL BLVD CITY: CALHOUND STATE: GA ZIP: 30701 4 1 primary_doc.xml PRIMARY DOCUMENT X0201 4 2004-02-24 0 0000029332 DIXIE GROUP INC DXYN 0001196587 DAVIS W DEREK 185 S INDUSTRIAL BLVD CALHOUND GA 30701 0 1 0 0 V.P. of Human Resources Common Stock, $3.00 2004-02-24 4 F 0 14489 D 14308 D This transaction represents the settlement of the Reporting Person's outstanding subscriptions under the Issuer's Stock Ownership Plan for designated senior executives. The Reporting Person settled subscriptions covering a total of 20,000 shares, with an aggregate subscription price of $177,500.00, through the surrender to the Issuer of 14,489 shares of Common Stock, valued at the market price of $12.25 per share, and payment of $9.75 cash (resulting in the delivery of 5,511 shares of Common Stock). Includes 3,281 shares allocated to the Reporting Person's account under the Issuer's 401(k) Plan. John F. Henry, Jr. for W. Derek Davis 2004-02-26 -----END PRIVACY-ENHANCED MESSAGE-----