0000029332-18-000020.txt : 20180313 0000029332-18-000020.hdr.sgml : 20180313 20180313132732 ACCESSION NUMBER: 0000029332-18-000020 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180312 FILED AS OF DATE: 20180313 DATE AS OF CHANGE: 20180313 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FAULKNER JON A CENTRAL INDEX KEY: 0001196590 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-02585 FILM NUMBER: 18685921 MAIL ADDRESS: STREET 1: PO BOX 2007 CITY: DALTON STATE: GA ZIP: 30722 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DIXIE GROUP INC CENTRAL INDEX KEY: 0000029332 STANDARD INDUSTRIAL CLASSIFICATION: CARPETS AND RUGS [2273] IRS NUMBER: 620183370 STATE OF INCORPORATION: TN FISCAL YEAR END: 1226 BUSINESS ADDRESS: STREET 1: PO BOX 2007 CITY: DALTON STATE: GA ZIP: 30722 BUSINESS PHONE: 7068765814 MAIL ADDRESS: STREET 1: PO BOX 2007 CITY: DALTON STATE: GA ZIP: 30722 FORMER COMPANY: FORMER CONFORMED NAME: DIXIE YARNS INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: DIXIE MERCERIZING CO DATE OF NAME CHANGE: 19670524 4 1 wf-form4_152096203895777.xml FORM 4 X0306 4 2018-03-12 0 0000029332 DIXIE GROUP INC DXYN 0001196590 FAULKNER JON A PO BOX 2007 DALTON GA 30722 0 1 0 0 VP & Chief Financial Officer Common Stock, $3 par value 2018-03-12 4 A 0 19100 0 A 146336 D Common Stock, $3 par value 2018-03-12 4 A 0 16200 0 A 162536 D Employee Stock Option (right to buy) 5.0 2011-11-04 2019-11-04 Common Stock, $3 par value 11000.0 11000 D Employee Stock Option (right to buy) 4.17 2019-05-30 2022-05-30 Common Stock, $3 par value 15000.0 15000 D Represents an award of restricted stock consisting of 19,100 Long Term Incentive Plan Shares. Represents an award of restricted stock consisting of 16,200 Career Shares. /s/ John F. Henry, Jr., by Power of Attorney for Jon A. Faulkner 2018-03-13