4 1 silver4.htm SHANNON SILVERNAIL FORM 4 - DECEMBER 2001 Prepared by Kilpatrick Stockton LLP EDGAR Services/ihj

 

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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Expires: December 31, 2001

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Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See instructions 1(b).

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(Print or Type Responses)

1. Name and Address of Reporting Person*

 Silvernail                        Shannon                  M.

2. Issuer Name and Ticker or Trading Symbol

          Krispy Kreme Doughnuts, Inc. (KKD)

6. Relationship of Reporting Person(s) to Issuer
    (Check all applicable)
____ Director                    ____ 10% Owner
____ Officer (give               X (1) Other (specify
           title below)                        below)

   (Last)                                    (First)                       (Middle)

 195 Barrington Hall Drive

 3. I.R.S. Identification Number
    of Reporting Person, if an
    entity voluntary)

 4. Statement for
    Month/Year

  December 2001

(Street)
  

   Macon                              GA                     31220

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

09/26/01

W

 

786,204

A

 

    

 

Common Stock

11/26/01

S

 

14,200

D

 $39.69

 

  

 

Common Stock

11/27/01

S

 

40,000

D

$38.22

      
Common Stock 11/28/01 S   32,500 D $37.05      

Common Stock

 11/29/01

S

 

 50,300

 D

 $36.17

 

 

 
Common Stock 11/30/01 S   60,000 D $37.16      
Common Stock 12/03/01 S   25,600 D $37.26      
Common Stock 12/04/01 S   25,100 D $36.89      
Common Stock 12/05/01 S   82,300 D $37.92      

Common Stock

12/13/01

G

 

500

D

 

560,424

D

  

Common Stock

09/26/01

W

 

4,000

A

 

     4,000

I

(2)
Common Stock  09/26/01 W   4,000 A  

     4,000

 I  (3)
Common Stock      

 

     476,664 I  (4)

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).

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 control number.

(Over)
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)   The reporting person is a member of a Section 13d group that owns more than 10% of the Issuer's outstanding common stock.
(2)   Held by Emily A. Silvernail, the reporting person's daughter.
(3)   Held by Patrick V. Silvernail, the reporting person's son.
(4)   Held by McAleer Investments Limited Partnership, a limited partnership of which the reporting person is a general partner.

  

**

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

             /s/ Shannon M. Silvernail

              Shannon M. Silvernail
**Signature of Reporting Person

 1/23/02

       Date

Note:

File three copies of this Form, one of which must be manually signed.
If space is insufficient, see Instruction 6 for procedure.
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.

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