-----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, NTAwgN+2NtqgTdFTg+dwEo0l34UR4ePB/zyi3EsV+0HAuzYCXAgRCBCNPKShArSQ oBwDa9mnBZpVd/DFbQnrTA== 0001288043-04-000011.txt : 20040817 0001288043-04-000011.hdr.sgml : 20040817 20040817160135 ACCESSION NUMBER: 0001288043-04-000011 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040816 FILED AS OF DATE: 20040817 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: 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FRIERSON DANIEL K CENTRAL INDEX KEY: 0000949130 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-02585 FILM NUMBER: 04982070 BUSINESS ADDRESS: STREET 1: 1100 S WATKINS STREET CITY: CHATTANOOGA STATE: TN ZIP: 37404 BUSINESS PHONE: 6156982501 MAIL ADDRESS: STREET 1: WITT GAITHER & WHITAKER, PC STREET 2: 1100 AMERICAN NATIONAL BANK BLDG CITY: CHATTANOOGA STATE: TN ZIP: 37404 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2004-08-16 0 0000029332 DIXIE GROUP INC DXYN 0000949130 FRIERSON DANIEL K THE DIXIE GROUP, INC. 345-B NOWLIN LANE CHATTANOOGA TN 37421 1 1 1 0 Chairman of the Board and CEO Common Stock, $3 Par Value 2004-08-16 4 F 0 966 8.875 A 7059 D Class B Common Stock, $3 Par Value 2004-08-16 4 F 0 78912 11.77 D 218008 D Class B Common Stock, $3 Par Value 2004-08-16 4 F 0 103687 8.875 A 321695 D Common Stock, $3 Par Value 2004-08-16 5 G 0 E 2526 0 D 4533 D Class B Common Stock, $3 Par Value 2004-08-16 5 G 0 E 50000 0 D 271695 D Class B Common Stock, $3 Par Value 2004-08-16 5 G 0 E 50000 0 A 75127 I by Wife Common Stock, $3 Par Value 5486 I by Trust This transaction represents 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 104,653 shares (which could be settled, at the Reporting Person's election, either for all Common Stock or for Common Stock and Class B Common Stock in proportion to the Reporting Person's existing ownership), with an aggregate subscription price of $928,795.38, through the surrender to the Issuer of 78,912 shares of Class B Common Stock, valued at the market price of $11.77 per share, and payment of $1.14 cash (resulting in the delivery of 966 shares of Common Stock and 103,687 shares of Class B Common Stock). Includes 3,567 shares allocated to the Reporting Person's account under the Issuer's 401(k) plan. Gift to wife who shares Reporting Person's household. The Reporting Person disclaims beneficial ownership of the shares held by his wife, and this report should not be deemed an admission that the Reporting Person is the beneficial owner of his wife's shares for purposes of Section 16 or for any other purpose. John F. Henry, Jr., by power of attorney for Daniel K. Frierson 2004-08-17 -----END PRIVACY-ENHANCED MESSAGE-----