-----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, CelaTb26WRyUi+lZl7UMT95FKFx6G6nyjON38xtATekfYc/o7apQM72+JlEKRb6I 2zuFX/+0gxdZM8JQ/0MEkw== 0001288043-05-000038.txt : 20050804 0001288043-05-000038.hdr.sgml : 20050804 20050804150009 ACCESSION NUMBER: 0001288043-05-000038 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050802 FILED AS OF DATE: 20050804 DATE AS OF CHANGE: 20050804 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: DAVIS W DEREK CENTRAL INDEX KEY: 0001196587 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-02585 FILM NUMBER: 05999080 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 X0202 4 2005-08-02 0 0000029332 DIXIE GROUP INC DXYN 0001196587 DAVIS W DEREK 2208 SOUTH HAMILTON STREET DALTON GA 30721 0 1 0 0 VP - Human Resources Common Stock, $3 par value 2005-08-02 4 M 0 14500 6.96 A 33118 D Common Stock, $3 par value 2005-08-02 4 M 0 2500 4.78 A 35618 D Common Stock, $3 par value 2005-08-02 4 S 0 2000 16.65 D 33618 D Common Stock, $3 par value 2005-08-02 4 S 0 4000 16.95 D 29618 D Common Stock, $3 par value 2005-08-02 4 S 0 10000 17 D 19618 D Common Stock, $3 par value 2005-08-02 4 S 0 1000 17.01 D 18618 D Employee Stock Option (right to buy) 6.96 2005-08-02 4 M 0 14367 0 D 2002-11-01 2012-05-02 Common Stock, $3 par value 14367 0 D Employee Stock Option (right to buy) 6.96 2005-08-02 4 M 0 133 0 D 2003-01-01 2012-05-02 Common Stock, $3 par value 133 12824 D Employee Stock Option (right to buy) 4.78 2005-08-02 4 M 0 2500 0 D 2004-08-13 2012-08-13 Common Stock, $3 par value 2500 0 D Includes 3,281 shares allocated to the Reporting Person's account under the Issuer's 401(K) plan. John F. Henry, Jr., by power of attorney for W. Derek Davis 2005-08-04 -----END PRIVACY-ENHANCED MESSAGE-----