SEC Form 5 · accession 0000029332-17-000004
DIXIE GROUP INC · DXYN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Daniel K Frierson
Officer — Chairman of the Board & CEO · Director
Period of report
Dec 31, 2016
Accepted (ET)
Jan 5, 2017 · 10:31 am EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000029332
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, $3 par value | Mar 11, 2016 | G | 4,545 | $4.36 | D | 29,030 | D | |
| Class B Common Stock, $3 par valueF1 | Mar 11, 2016 | G | 9,000 | $4.36 | D | 540,278 | D | |
| Class B Common Stock, $3 par valueF1 | holding | — | — | — | 94,879 | I | by Spouse | |
| Class B Common Stock, $3 par valueF1 | holding | — | — | — | 5,486 | I | by Self as Trustee |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common Stock, $3 par value | $5.00 | holding | — | — | — | Nov 4, 2012 | Nov 4, 2019 | Class B Common Stock, $3 par value | 50,000 | 50,000 | D |
Explanation of responses
- F1Class B Common Stock is convertible on a share for share basis into Common Stock and except for certain distributions to family members, must be converted (on a share for share basis) into Common Stock to be sold or transferred. There is no expiration date.