-----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, CSxNfDW22MxyuPzLGkuWwT4hoY27a6TmRQWSuu6GLM04tE8lTvvooFv8uHE4OMQb mL+9bnDynZ1aVn9iJpeosg== 0001288043-04-000031.txt : 20041220 0001288043-04-000031.hdr.sgml : 20041220 20041220155610 ACCESSION NUMBER: 0001288043-04-000031 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041216 FILED AS OF DATE: 20041220 DATE AS OF CHANGE: 20041220 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: 041214178 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 2004-12-16 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 2004-12-16 4 C 0 25127 A 29660 D Class B Common Stock, $3 par value 2004-12-16 4 C 0 25127 D 246568 D Common Stock, $3 par value 2004-12-16 4 C 0 25127 D 0 I by wife Class B Common Stock, $3 par value 2004-12-16 4 C 0 25127 A 94879 I by wife Class B Common Stock, $3 par value 2004-12-16 4 C 0 15678 A 262246 D Common Stock, $3 par value 2004-12-16 4 C 0 15678 D 13982 D Class B Common Stock, $3 par value 2004-12-16 4 M 0 13274 7.66 A 275520 D Common Stock, $3 par value 2004-12-16 4 M 0 726 7.66 A 14708 D Class B Common Stock, $3 par value 2004-12-16 4 F 0 6710 15.98 D 268810 D Employee Stock Option (right to buy) 7.66 2004-12-16 4 M 0 14000 0 D 2007-05-02 Common Stock, $3 par value 14000 57835 D The reported transaction represents a voluntary exchange between the Reporting Person and the Reporting Person's wife by which the Reporting Person acquired 25,127 shares of Common Stock in exchange for 25,127 shares of Class B Common Stock. The reported transaction represents a voluntary exchange between the Reporting Person and the Reporting Person's brother by which the Reporting Person acquired 15,678 shares of Class B Common Stock in exchange for 15,678 shares of Common Stock. Includes 3,567 shares allocated to the Reporting Person's account under the Issuer's 401(k) plan. The option vests in five equal installments of 14,367 shares each, commencing 11/2/02, 1/1/03, 1/1/04, 1/1/05, and 1/1/06, respectively. John F. Henry, Jr., by power of attorney for Daniel K. Frierson 2004-12-20 -----END PRIVACY-ENHANCED MESSAGE-----