-----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, EFA84G6oVZWxJl6qQuLguUUCy3i2XIhZsyD29EgRsOmm+RLM2oWoACLfCcU0YMIN ff9jqpC9uulch7aDLahUiw== 0001288043-04-000029.txt : 20041208 0001288043-04-000029.hdr.sgml : 20041208 20041208190906 ACCESSION NUMBER: 0001288043-04-000029 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041206 FILED AS OF DATE: 20041208 DATE AS OF CHANGE: 20041208 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: 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: 041191804 BUSINESS ADDRESS: BUSINESS PHONE: 4236984527 MAIL ADDRESS: STREET 1: 4101 JEROME AVE CITY: CHATTANOOGA STATE: TN ZIP: 37407 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2004-12-06 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) 15.98 2004-12-06 4 A 0 3000 A 2005-06-06 2014-12-06 Common Stock, $3 par value 3000 3000 D The reported transaction represents a non-qualified stock option granted under the Issuer's Stock Incentive Plan. John F. Henry, Jr., by power of attorney for J. Don Brock 2004-12-08 -----END PRIVACY-ENHANCED MESSAGE-----