SEC Form 4 · accession 0000029332-18-000020
DIXIE GROUP INC · DXYN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jon A Faulkner
Officer — VP & Chief Financial Officer
Period of report
Mar 12, 2018
Accepted (ET)
Mar 13, 2018 · 1:27 pm EDT
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 valueF1 | Mar 12, 2018 | A | 19,100 | $0.00 | A | 146,336 | D | |
| Common Stock, $3 par valueF2 | Mar 12, 2018 | A | 16,200 | $0.00 | A | 162,536 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (right to buy) | $5.00 | holding | — | — | — | Nov 4, 2011 | Nov 4, 2019 | Common Stock, $3 par value | 11,000 | 11,000 | D |
| Employee Stock Option (right to buy) | $4.17 | holding | — | — | — | May 30, 2019 | May 30, 2022 | Common Stock, $3 par value | 15,000 | 15,000 | D |
Explanation of responses
- F1Represents an award of restricted stock consisting of 19,100 Long Term Incentive Plan Shares.
- F2Represents an award of restricted stock consisting of 16,200 Career Shares.