4 1 g69087ae4.txt PIERRE FOODS INC/RICHARDSON 1 ------ FORM 4 ------ U.S. SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP [ ] Check this box if no longer subject to Filed pursuant to Section 16(a) of the Securities Section 16. Form 4 Exchange Act of 1934, Section 17(a) of the or Form 5 obligations Public Utility Holding Company Act of 1935 may continue. See or Section 30(f) of the Investment Company Instruction 1(b). Act of 1940 (Print or Type Responses) ------------------------------------------------------------------------------------------------------------------------------------ | 1. Name and Address of Reporting Person* | 2. Issuer Name and Ticker or Trading Symbol |6. Relationship of Reporting Person(s)| | Richardson, Jr. James C. | Pierre Foods, Inc. (Nasdaq: FOOD) | to Issuer (Check all applicable) | |--------------------------------------------|----------------------------------------------| | | (Last) (First) (Middle) | 3. IRS Identification | 4. Statement For | [X] Director [X] 10% Owner | | | Number of Reporting | Month/Year | [X] Officer (give [ ] Other (Specify| | | Person, if an Entity | | title below) | | 361 Second Street, | (Voluntary) | | below) | | NW, P.O. Box 3967 | | April 2001 | Chairman of the Board | |--------------------------------------------| |--------------------|--------------------------------------| | (Street) | | 5. If Amendment, |7. Individual or Joint/Group Reporting| | | | Date of Original| (Check applicable line) | | | | (Month/Year) | [X] Form Filed by One | | Hickory North Carolina 28603 | | | Reporting Person | |--------------------------------------------|----------------------------------------------| [ ] Form Filed by More Than | | (City) (State) (Zip) | | One Reporting Person | | | | | |----------------------------------------------------------------------------------------------------------------------------------| | TABLE I -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED | |----------------------------------------------------------------------------------------------------------------------------------| |1. Title of Security |2. Transaction |3. Transac- |4. Securities Acquired (A) | 5. Amount of Se- |6. Owner- |7. Nature | | (Instr. 3) | Date | tion Code | or Disposed of (D) | curities Benefi-| ship | of In- | | | (Month/Day/ | (Instr. 8) | | cially Owned at | Form: | direct | | | Year) | | | End of Month | Direct | Benefi-| | | | | (Instr. 3, 4 and 5) | (Instr. 3 and 4)| (D) or | cial | | | |--------------|---------------------------| | Indirect | Owner- | | | | Code | V | Amount | (A) or| Price | | (I) | ship | | | | | | | (D) | | | (Instr. 4)| (Instr.| | | | | | | | | | | 4) | |---------------------|-------------------|-------|------|---------|-------|---------|--------------------|-------------|----------| | Common Stock | 04/17/01 | P | | 57,385 | A |$9.00(1) | 0 | D | | |---------------------|-------------------|-------|------|---------|-------|---------|--------------------|-------------|----------| | Common Stock | 04/17/01 | P | | 363,414 | A |$15.81(2)| | D | | |---------------------|-------------------|-------|------|---------|-------|---------|--------------------|-------------|----------| | Common Stock | 04/17/01 | P | | 288,462 | A |$7.50(3) | | I |By PFMI(4)| |---------------------|-------------------|-------|------|---------|-------|---------|--------------------|-------------|----------| | Common Stock | 04/17/01 | P | | 9,766 | A |$7.50(5) | | I |By PFMI | |---------------------|-------------------|-------|------|---------|------ |---------|--------------------|-------------|----------| | Common Stock | 04/17/01 | P | | 24,396 | A |$7.50(6) | | I |By PFMI | |---------------------|-------------------|-------|------|---------|-------|---------|--------------------|-------------|----------| | Common Stock | 04/17/01 | P | | 11,888 | A |$7.50(7) | | I |By PFMI | |---------------------|-------------------|-------|------|---------|-------|---------|--------------------|-------------|----------| | | | | | | | | | | | |---------------------|-------------------|-------|------|---------|-------|---------|--------------------|-------------|----------| | | | | | | | | | | | ------------------------------------------------------------------------------------------------------------------------------------ Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. *If the form is filed by more than one reporting person, see Instruction 4(b)(v). Potential persons who are to respond to the collection of information contained in this form are not required (Over) to respond unless the form displays a currently valid OMB-control number. SEC 1474 (3/99) Page 1 of 4
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FORM 4 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) ------------------------------------------------------------------------------------------------------------------------------------ |1. Title of Derivative | 2. Conver- |3. Trans- |4. Trans- |5. Number of | 6. Date Exer- |7. Title and Amount |8. Price | | Security | sion or | action | action | Derivative | cisable and | of Underlying | of | | (Instr. 3) | Exercise | Date | Code | Securities | Expiration | Securities | Deriv- | | | Price of | (Month/| (Instr.| Acquired (A) | Date | (Instr. 3 and 4) | ative | | | Deriv- | Day/ | 8) | or Disposed | (Month/Day/ | | Secur- | | | ative | Year) | | of (D) | Year) | | ity | | | Security | | | (Instr. 3, | | | (Instr. 5)| | | | | | 4, and 5) |-----------------|--------------------| | | | | | | | Date |Expira- | | Amount or| | | | | |----------|----------------| Exer- |tion | Title | Number of| | | | | | Code| V | (A) | (D) | cisable|Date | | Shares | | |-----------------------|--------------|----------|-----|----|-------|--------|--------|--------|--------|-----------|-------------| | | | | | | | | | | | | | |-----------------------|--------------|----------|-----|----|-------|--------|--------|--------|--------|-----------|-------------| | | | | | | | | | | | | | |-----------------------|--------------|----------|-----|----|-------|--------|--------|--------|--------|-----------|-------------| | | | | | | | | | | | | | |-----------------------|--------------|----------|-----|----|-------|--------|--------|--------|--------|-----------|-------------| | | | | | | | | | | | | | |-----------------------|--------------|----------|-----|----|-------|--------|--------|--------|--------|-----------|-------------| | | | | | | | | | | | | | |-----------------------|--------------|----------|-----|----|-------|--------|--------|--------|--------|-----------|-------------| | | | | | | | | | | | | | ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------ | 9. Number of | 10. Ownership | 11. Nature of | | Derivative | Form of | Indirect | | Securities | Derivative | Beneficial | | Beneficially | Security: | Ownership | | Owned at End | Direct (D) | (Instr. 4) | | of Month | or Indirect (I) | | | (Instr. 4) | (Instr. 4) | | | | | | |---------------------|-------------------------------|----------------------| | | | | |---------------------|-------------------------------|----------------------| | | | | |---------------------|-------------------------------|----------------------| | | | | |---------------------|-------------------------------|----------------------| | | | | |---------------------|-------------------------------|----------------------| | | | | |---------------------|-------------------------------|----------------------| | | | | ------------------------------------------------------------------------------ Explanation of Responses: **Intentional misstatements or omissions of facts constitute Federal Criminal /s/ James C. Richardson, Jr. 05/09/2001 Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). -------------------------------- ---------- **Signature of Reporting Person Date Note. File three copies of this form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number Page 2 Page 2 of 4
3 ATTACHMENT TO APRIL 2001 FORM 4 OF JAMES C. RICHARDSON, JR., 361 Second Street, NW, P.O. Box 3967, Hickory, NC 28603, Relating to Pierre Foods, Inc. (Nasdaq: FOOD)
TABLE I - NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED -------------------- ------------------------------------------------------------------------------------------------------------- 1. Title of Security 2. Trans- 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Ownership 7. Nature of (Instr. 3) action action or Disposed of (D) Securities Form: Indirect Date Code (Instr. 3, 4 and 5) Beneficially Direct Beneficial (Instr. 8) Owned at (D) or Ownership (Month/ End of Month Indirect Day/ (I) Year) (Instr. 3 and 4) (Instr. 4) (Instr. 4) -------------------- ---------- ------------- ----------------------------- ------------------- ------------- ---------------- Code V Amount (A) Price or (D) -------------------- ---------- ---- -------- ---------- ------ --------- ------------------- ------------- ---------------- Common Stock 4/17/01 P 3,685 A $7.50(8) I By PFMI Common Stock 4/17/01 P 11,573 A $7.50(9) I By PFMI Common Stock 4/17/01 P 3,000 A $7.50(10) I By PFMI Common Stock 4/17/01 P 12,569 A $7.50(11) I By PFMI Common Stock 4/17/01 P 64,280 A $2.09(12) I By PFMI Common Stock 4/17/01 P 106,100 A $5.68(13) I By PFMI Common Stock 4/17/01 P 30,000 A $8.00(14) I By PFMI Common Stock 4/17/01 P 27,208 A $8.00 I By PFMI Common Stock 4/17/01 P 1,227,234 A (15) I By PFMI Common Stock 4/17/01 P 1,759,244 A (16) I By PFMI Common Stock 4/17/01 P 46,799 A (17) I By PFMI Common Stock 4/17/01 P 4,008 A (18) I By PFMI Common Stock 4/17/01 S 46,799 D (19) I By Columbia Hill Common Stock 4/17/01 S 1,227,234 D (20) I By HERTH Common Stock 4/17/01 S 1,759,244 D (21) D Common Stock 3,630,212 I By PFMI Page 3 of 4
4 ATTACHMENT TO APRIL 2001 FORM 4 OF JAMES C. RICHARDSON, JR., 361 Second Street, NW, P.O. Box 3967, Hickory, NC 28603, Relating to Pierre Foods, Inc. (Nasdaq: FOOD) (1) Represented by a promissory note for $516,465 (2) Represented by (i) cash in the amount of $77,066 and (ii) two promissory notes for an aggregate of $5,668,611 (3) Represented by a promissory note for $2,163,465 (4) PF Management, Inc. ("PFMI") is a corporation of which the Reporting Person is a director and owns 52.875% of the common stock. (5) Represented by a promissory note for $73,245 (6) Represented by a promissory note for $182,970 (7) Represented by a promissory note for $89,160 (8) Represented by a promissory note for $27,638 (9) Represented by a promissory note for $86,798 (10) Represented by a promissory note for $22,500 (11) Represented by a promissory note for $94,268 (12) Represented by a promissory note for $134,125 (13) Represented by a promissory note for $602,500 (14) Represented by a promissory note for $240,000 (15) HERTH Management, Inc. ("HERTH"), a corporation of which the Reporting Person was a controlling shareholder, contributed 1,227,234 shares of Common Stock to PFMI in exchange for 11,875 shares of PFMI stock. Thereafter, HERTH distributed the 11,875 shares of PFMI stock to another shareholder of HERTH in redemption of such shareholder's HERTH stock. PFMI is a new corporation formed for the purpose of acquiring Pierre Foods, Inc. PFMI has no material assets and a substantial amount of debt. The value of its common stock is considered to be nominal. (16) The Reporting Person contributed 1,759,244 shares of Common Stock to PFMI in exchange for 52,875 shares of PFMI stock. See note (15) for information relating to the value of PFMI stock. (17) Columbia Hill, LLC, a limited liability company of which the Reporting Person owned an approximately 47% membership interest ("Columbia Hill"), contributed 46,799 shares of Common Stock to PFMI in exchange for 59,059 shares of PFMI stock. Thereafter, Columbia Hill liquidated and distributed 27,817 shares of PFMI stock to the Reporting Person. (18) David R. Clark contributed 4,008 shares of Common Stock to PFMI in exchange for 4,008 shares of PFMI stock. (19) See note (17) for a description of this transaction. (20) See note (15) for a description of this transaction. (21) See note (16) for a description of this transaction. Page 4 of 4