-----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, TqvhrhwKSUMWOUjbnSHFbvg+WT4fFGVH/3fmEp9LautaJ7faICvqgf02Wbpdg1SJ xZA6kb8fJH45WcGOlmCpHw== 0001017069-98-000001.txt : 19980115 0001017069-98-000001.hdr.sgml : 19980115 ACCESSION NUMBER: 0001017069-98-000001 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19980112 FILED AS OF DATE: 19980114 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: BASSETT FURNITURE INDUSTRIES INC CENTRAL INDEX KEY: 0000010329 STANDARD INDUSTRIAL CLASSIFICATION: WOOD HOUSEHOLD FURNITURE, (NO UPHOLSTERED) [2511] IRS NUMBER: 540135270 STATE OF INCORPORATION: VA FISCAL YEAR END: 1130 FILING VALUES: FORM TYPE: 5 SEC ACT: SEC FILE NUMBER: 000-00209 FILM NUMBER: 98506680 BUSINESS ADDRESS: STREET 1: MAIN ST STREET 2: P O BOX 626 CITY: BASSETT STATE: VA ZIP: 24055 BUSINESS PHONE: 7036296000 MAIL ADDRESS: STREET 1: MAIN ST STREET 2: P O BOX 626 CITY: BASSETT STATE: VA ZIP: 24055 COMPANY DATA: COMPANY CONFORMED NAME: GOODWIN WILLIAM H JR CENTRAL INDEX KEY: 0001017069 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: C/O BASSETT FURNITURE INDUSTRIES INC STREET 2: PO BOX 626 CITY: BASSETT STATE: VA ZIP: 24055 BUSINESS PHONE: 5406296000 MAIL ADDRESS: STREET 1: C/O BASSETT FURNITURE INDUSTRIES INC STREET 2: PO BOX 626 CITY: BASSETT STATE: VA ZIP: 24055 5 1 FORM 5 - JANUARY 12, 1998 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 5 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP ( ) Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instructions 1(b). ( ) Form 3 Holdings Reported (X) Form 4 Transactions Reported 1. Name and Address of Reporting Person GOODWIN, JR., WILLIAM H C C A INDUSTRIES 901 EAST CARY STREET SUITE 1400 RICHMOND, VA 23219 USA 2. Issuer Name and Ticker or Trading Symbol BASSETT FURNITURE INDUSTRIES, INC BSET 3. IRS or Social Security Number of Reporting Person (Voluntary) ###-##-#### 4. Statement for Month/Year JANUARY 12, 1998 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) (X) Director ( ) 10% Owner ( ) Officer (give title below) ( ) Other (specify below) 7. Individual or Joint/Group Reporting (Check Applicable Line) ( ) Form filed by One Reporting Person ( ) Form filed by More than One Reporting Person
___________________________________________________________________________________________________________________________________ Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1. Title of Security |2. |3. |4.Securities Acquired (A) |5.Amount of |6.Dir |7.Nature of Indirect | |Transaction| or Disposed of (D) | Securities |ect | Beneficial Ownership | |Date |Code| | Beneficially |(D)or | | | | | | A/| | Owned at |Indir | | | | | Amount | D | Price | End of Year |ect(I)| | ___________________________________________________________________________________________________________________________________| | | | | | |4285 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | |3000 |I |HUNTER-SON | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | |3000 |I |MOLLY-DAUGHTER | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | |3000 |I |CUST FOR SARAH | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | |3000 |I |CUST FOR PETER | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | |3000 |I |MATTEW-SON | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________ Table II -- Derivative Securitites Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1.Title of Derivative |2.Con |3. |4. |5.Number of De |6.Date Exer|7.Title and Amount |8.Price|9.Number |10.|11.Nature of| Security |version |Transaction rivative Secu |cisable and| of Underlying |of Deri|of Deriva |Dir|Indirect | |or Exer |Date |Code| rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial | |cise Pr | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership | |ice of | | | posed of(D) |Day/Year) | |rity |Benefi |or | | |Deriva | | | |Date |Expir| | |ficially |Ind| | |tive | | | | A/|Exer-|ation| Title and Number | |Owned at |ire| | |Secu | | | | D |cisa-|Date | of Shares | |End of |ct | | |rity | | | Amount | |ble | | | |Year |(I)| | ___________________________________________________________________________________________________________________________________| *OPTION (RIGHT TO BUY) |27.75 | | | | |10-01|3-31-|COMMON |500 | |500 |D | | | | | | | |-94 |2004 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| *OPTION (RIGHT TO BUY) |26.50 | | | | |10-03|4-02-|COMMON |500 | |500 |D | | | | | | | |-95 |2005 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| *OPTION (RIGHT TO BUY) |25.75 | | | | |10-02|4-02-|COMMON |500 | |500 |D | | | | | | | |-96 |2006 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| *OPTION (RIGHT TO BUY) |23.875 | | | | |10-01|4-02-|COMMON |500 | |500 |D | | | | | | | |-97 |2007 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| *OPTION (RIGHT TO BUY) |27.75 |11-07|A |2500 |A |5-07-|11-06|COMMON |2500 | |2500 |D | | | |-97 | | | |98 |-07 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________|
Explanation of Responses: *GRANTED UNDER THE 1993 STOCK PLAN FOR NON-EMPLOYEE DIRECTORS. SIGNATURE OF REPORTING PERSON WILLIAM GOODWIN JR DATE 1-12-98 -----END PRIVACY-ENHANCED MESSAGE-----