-----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, UMO3Z37WFvj09JIcFyEyFJWb/+Fg1/1mDRtVZmYHDDgWxodoR+KTbAm5nqI4NwKK 8MjDN7BZPaqu7iEcWa4esA== 0000896265-01-500005.txt : 20010123 0000896265-01-500005.hdr.sgml : 20010123 ACCESSION NUMBER: 0000896265-01-500005 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20001231 FILED AS OF DATE: 20010122 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: PILLOWTEX CORP CENTRAL INDEX KEY: 0000896265 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS FABRICATED TEXTILE PRODUCTS [2390] IRS NUMBER: 752147728 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: SEC FILE NUMBER: 001-11756 FILM NUMBER: 1512470 BUSINESS ADDRESS: STREET 1: 4111 MINT WAY CITY: DALLAS STATE: TX ZIP: 75237 BUSINESS PHONE: 2143333225 MAIL ADDRESS: STREET 1: 4111 MINT WAY CITY: DALLAS STATE: TX ZIP: 75237 FORMER COMPANY: FORMER CONFORMED NAME: PILLOWTEX CORP DATE OF NAME CHANGE: 19930125 COMPANY DATA: COMPANY CONFORMED NAME: SHIMIZU SCOTT E CENTRAL INDEX KEY: 0001091554 STANDARD INDUSTRIAL CLASSIFICATION: [] OFFICER FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: 4111 MINT DR CITY: DALLAS STATE: TX ZIP: 75237 BUSINESS PHONE: 2143333225 5 1 ses5.htm SHIMIZU FORM 5 - 2000


FORM 5

[ ]  Check this box if no longer
     subject to Section 16. Form 4
     or Form 5 obligations my
     continue.  See Instruction 1(b).

[ ]  Form 3 Holdings Reported

[ ]  Form 4 Transactions Reported

UNITED STATES SECURITIES AND EXCHANGE
COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934,
Section 17(a) of the Public Utility Holding Company Act of 1935
or Section 30(f) of the Investment Company Act of 1940


OMB APPROVAL


OMB No.      3235-0362
Expires:        9/30/98
Estimated average burden
hours per response:    1.0


(Print or Type Response)

1.  Name and Address of Reporting Person*

   
Shimizu        Scott           E.
    (Last)             (First)           (Middle)


          4111 Mint Way

2.  Issuer Name and Ticker or Trading Symbol

   
Pillowtex Corporation    (PTX)

3.  IRS or Social Security Number of
     Reporting Persons (Voluntary)
         ###-##-####

6.  Relationship of Reporting Person(s) to Issuer
    (check all applicable)

    X     Director                    10% Owner
    X     Officer                      Other (specify
                                               below)
         Executive Vice President - Sales & Marketing

            (Street)

    Dallas         Texas        75237

4.  Statement for Month/Year
        December 2000

7.  Individual or Joint/Group Filing (Check Applicable)
    X     Form filed by One Reporting Person
           Form filed by More than One Reporting Person

    (City)        (State)        (Zip)

5.  If Amendment, Date of Original
    (Month/Year)

 

1.  Title of Security

2. Trans-
   action
   Date

 (Month/
  Day/
  Year)

3. Transaction
   Code
  (Instr. 8)



Code          V

4. Securities Acquired (A)
   or Disposed of (D)
   (Instr. 3, 4 and 5)



Amount     (A) or (D)       Price

5. Amount of
  Securities
  Beneficially
  Owned at
  End of
  Month
(Instr. 3 and 4)

6. Ownership
   Form:
   Direct (D)
   or Indirect
   (I)

  (Instr. 4) 

7. Nature of
   Indirect
   Bene-
   ficial
  Ownership

   (Instr. 4)

Common Stock

     

6,024(1)

I

by 401(k)

             
             
             
             

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).


Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)

1. Title
of Deriv-
ative Sec-
urity
(Instr. 3)

2. Conver-
  sion or
  Exercise
  Price of
  Deriv-
  ative
  Security

3. Trans-
  action
  Date


  (Month/
  Day/
  Year)

4. Transac-
  Code
  (Instr. 8)








Code    

5. Number
of Deriv-
ative secur-
ities Acq-
quired (A)
or Disposed
of (D)
(Instr. 3, 4
and 5)


(A)          (D)

6. Date Exer-
 cisable and Ex-
 piration Date

 (Month/Day/
  Year)



Date         Expira-
Exer-         tion
siable         Date

7. Title and Amount
of Underlying Sec-
urities
(Instr. 3 and 4)




                   Amount
                   or Num-
                   ber of
Title              Shares

8. Price
of
Deriv-
ative
Secur-
ity
(Instr.
5)

9. Num-
ber of
Deriva-
tive Secur-
ities
Bene-
ficially
Owned
at End
of
Month
(Instr. 4)

10. Own-
ership
Form of
Deriva-
tive Secu-
rity:
Direct
(D) or
Indirect
(i)
Instr. 4

11. Na-
ture of
Indirect
Benefi-
cial Owner-
ship
(Instr. 4).

                   

 


                   


                   


                   


                   

Explanation of Responses:
(1)  The Common Stock is held by a trust created under the Pillowtex Corporation 401(k) Plan (the "Plan"). The amount reported in Column 5 is based on a Plan Statement issued by the administrator of the Plan as of December 31, 2000 and represents and estimate of the total number of shares that would be available to the reporting person if holdings were to be liquidated on that date.

** Intentional misstatements or omission of facts constitute Federal Criminal
Violations. See 18 U.S. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually
signed.
       If space provided is insufficient, see Instruction 6 for procedures.
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.


        Scott E. Shimizu                                       Jan. 19, 2001    
    **Signature of Reporting Person                              Date        

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