o | Rule 13d-1(b) |
þ | Rule 13-d-1(c) |
o | Rule 13d-1(d) |
CUSIP No. | 255519100 | |
1. | Names of Reporting Persons. I.R.S. Identification Nos. of above persons (entities only). | |
Robert E. Shaw | ||
2. | Check the Appropriate Box if a Member of a Group | |
(a) | o | |
(b) | o | |
3. | SEC Use Only | |
4. | Citizenship or Place of Organization | |
Georgia, United States |
Number of Shares Beneficially Owned by Each Reporting Person With: | 5. | Sole Voting Power | — |
6. | Shared Voting Power | 1,275,000 | |
7. | Sole Dispositive Power | — | |
8. | Shared Dispositive Power | 1,275,000 | |
9. | Aggregate Amount Beneficially Owned by Each Reporting Person | 1,275,000 | |
10. | Check if the Aggregate Amount in Row (9) Excludes Certain Shares | o | |
11. | Percent of Class Represented by Amount in Row (9) | 8.5% | |
12. | Type of Reporting Person | ||
IN |
Item 1. | |||
(a) | Name of Issuer: The Dixie Group, Inc. | ||
(b) | Address of issuer's principal executive offices: | ||
475 Reed Road Dalton, GA 30720 | |||
Item 2 | |||
(a) | Name of Person Filing: Robert E. Shaw | ||
(b) | Address of Principal Business Office: | ||
114 N. Pentz Street Dalton, GA 30720 | |||
(c) | Citizenship: United States | ||
(d) | Title of Class of Securities: Common Stock | ||
(e) | CUSIP Number: 255519100 | ||
Item 3. | If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a: | ||
o | Broker or dealer registered under Section 15 of the Act (15 U.S.C. 78o); | ||
o | Bank as defined in Section 3 (a) (6) of the Act (15 U.S.C. 78c); | ||
o | Insurance company as defined in Section 3 (a) (19) of the Act (15 U.S.C. 78c); | ||
o | Investment company registered under Section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8); | ||
o | An investment adviser in accordance with §240.13d-1 (b) (1) (ii) (E); | ||
o | An employee benefit plan or endowment fund in accordance with §240.13d-1 (b) (1) (ii) (F); | ||
o | A parent holding company or control person in accordance with §240.13d-1 (b) (1) (ii) (G); | ||
o | A savings association as defined in Section 3 (b) of the Federal Deposit Insurance Act (12 U.S.C. 1813); | ||
o | A church plan that is excluded from the definition of an investment company under section 3 (c) (14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3); | ||
o | Group, in accordance with §240.13d-1 (b) (1) (ii) (J). | ||
Item 4. | Ownership | ||
Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1. | |||
(a) | Amount beneficially owned: 1,275,000 | ||
(b) | Percent of class: 8.5% | ||
(c) | Number of shares as to which the person has: | ||
(i) | Sole power to vote or to direct the vote: 0 | ||
(ii) | Shared power to vote or to direct the vote:1,275,000 | ||
(iii) | Sole power to dispose or to direct the disposition of: 0 | ||
(iv) | Shared power to dispose or to direct the disposition of: 1,275,000 |
Item 5. | Ownership of Five Percent or Less of a Class | ||
Not applicable | |||
Item 6. | Ownership of More than Five Percent on Behalf of Another Person | ||
Not applicable | |||
Item 7. | Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company | ||
Not applicable | |||
Item 8. | Identification and Classification of Members of the Group | ||
Shares are held by the Anna Sue and Robert Shaw Foundation but still voted by Robert Shaw. | |||
Item 9. | Notice of Dissolution of Group | ||
Not applicable | |||
Item 10. | Certification | ||
The following certification shall be included if the statement is filed pursuant to Section 240.13d-1(c): | |||
(a) | By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose of effect. |
Date: | February 3, 2016 |
Signature: | /s/ Robert E. Shaw |
Name/Title: | Robert E. Shaw |