4 1 livejun4.htm SCOTT A. LIVENGOOD FORM 4 - JUNE 2001 Prepared by Kilpatrick Stockton LLP EDGAR Services

Form 4

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, DC 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

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(Print or Type Responses)

 

1. Name and Address of Reporting Person*

 Livengood                  Scott                     A.

2. Issuer Name and Ticker or Trading Symbol

Krispy Kreme Doughnuts, Inc. (KKD)
6. Relationship of Reporting Person(s) to Issuer
    (Check all applicable)
  X   Director                    ____ 10% Owner
  X   Officer (give            ____ Other (specify
                  title below)                     below)


Chairman of the Board, President
and Chief Executive Officer

   (Last)                                    (First)                       (Middle)

  370 Knollwood Street, Suite 500
3. I.R.S. Identification Number
    of Reporting Person, if an
    entity voluntary)


4. Statement for
    Month/Year

June 2001

(Street)


  Winston-Salem            NC                   27103

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

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

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1. Title of Security
    (Instr. 3)
2. Transaction Date
    (Month/Day/Year)
3. Transaction
    Code
    (Instr. 8)
4. Securities Acquired (A) or Disposed of
    (D)   (Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned at End of Month
(Instr. 3 and 4)
6. Owner-
ship Form:
Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 06/12/01 S   80,000(1) D  $67.44      
Common Stock  06/14/01  S    15,000(1) D  $69.56

1,045,440(2)

 D  
Common Stock              2,000(2)  I  (3)
Common Stock              2,000(2)  I  (4)
Common Stock             2,000(2) I (5)
Common Stock             600(2) I (6)
Common Stock             2,132(2) I (7)

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 Instructions 4(b)(v).

 

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SEC 1474 (3-99)

 


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
   Security
   (Instr.3)

2. Conversion or
    Exercise
    Price of
    Derivative
    Security
3. Transaction
    Date
    (Month/
    Day/
    Year)
4. Transaction     Code
   (Instr. 8)
5. Number of     Derivative
    Securities
    Acquired
    (A)  or
    Disposed
    of (D)
   (Instr. 3, 4
    and 5)
6. Date Exercisable
    and Expiration Date
    (Month/Day/Year)
7. Title and Amount
    of Underlying
    Securities
    (Instr. 3 and 4)
8. Price of
    Derivative
    Security
   (Instr. 5)
9. Number of
    Derivative
   Securities
   Beneficially
   Owned at
   End of
   Month
   (Instr. 4)
10. Ownership
      Form of
      Derivative
      Security:
      Direct (D)
      or Indirect
      (I)
      (Instr. 4)
11. Nature
      of
      Indirect
      Beneficial
      Ownership
      (Instr. 4)
Code V (A) (D) Date
Exercisable
Expiration
Date
Title Amount
or
Number
of Shares
                             
                             
                           
                             

Explanation of Responses:

(1) Number of shares disposed of does not reflect a 2:1 stock split on June 14, 2001.
(2) End of period holdings reflect a 2:1 stock split on June 14, 2001.
(3) Held by the Adrienne A. Livengood Irrevocable Trust for the benefit of Matthew Scott Livengood, Mr. Livengood’s son, a trust of which Mr. Livengood’s spouse
      is the sole  trustee.
(4) Held by the Adrienne A. Livengood Irrevocable Trust for the benefit of Gregory Alan Livengood, Mr. Livengood’s son, a trust of which Mr. Livengood’s spouse
      is the sole  trustee.
(5) Held by the Adrienne A. Livengood Irrevocable Trust for the benefit of John Erik Livengood, Mr. Livengood’s son, a trust of which Mr. Livengood’s spouse is
      the sole  trustee.
(6) Held by son.
(7) Held in a tax-qualified trust pursuant to the Krispy Kreme Profit-Sharing Stock Ownership Plan.


**

Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

/s/ Scott A. Livengood
Scott A. Livengood
**Signature of Reporting Person

July 9, 2001


Date

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