-----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, CY+9Rqbu9WlOlyIHqcjGKPdgXZOwuV7RbgqqY7RxO2MD5ytD7BD4faZvpPPAbfl4 pmelj1XKV2/Fmm4i/DusXw== 0001288043-04-000014.txt : 20040827 0001288043-04-000014.hdr.sgml : 20040827 20040827140006 ACCESSION NUMBER: 0001288043-04-000014 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040701 FILED AS OF DATE: 20040827 DATE AS OF CHANGE: 20040827 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: RENFROE ROYCE R CENTRAL INDEX KEY: 0001196593 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-02585 FILM NUMBER: 041001935 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: 2801 PULLMAN ST CITY: SANTA ANA STATE: CA ZIP: 92705 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2004-07-01 0 0000029332 DIXIE GROUP INC DXYN 0001196593 RENFROE ROYCE R 2801 PULLMAN ST SANTA ANA CA 92705 0 1 0 0 VP and Pres. of Fabrica Common Stock, $3 par value 2004-07-01 4 M 0 7500 3.875 A 23225 D Employee Stock Option (Right to Buy) 3.875 2004-07-01 4 M 0 7500 D 2010-06-30 Common Stock, $3 par value 7500 7500 D Includes 725 shares allocated to the Reporting Person's account under the Issuer's 401(k) Plan. The option was granted under the Issuer's Stock Incentive Plan and becomes exercisable in four equal annual installments of 7,500 shares each on 6/30/02, 6/30/03, 6/30/04 and 6/30/05, respectively. These shares also were inadvertently ommitted from a Form 4 filed by the Reporting Person on August 26, 2004. John F. Henry, Jr., by power of attorney for Royce R. Renfroe 2004-08-27 -----END PRIVACY-ENHANCED MESSAGE-----