SEC FORM 4 SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
SPILMAN ROBERT H JR

(Last) (First) (Middle)
3525 FAIRYSTONE PARK HWY
P O BOX 626

(Street)
BASSETT VA 24055

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
BASSETT FURNITURE INDUSTRIES INC [ BSET ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Pres & Chief Executive Officer
3. Date of Earliest Transaction (Month/Day/Year)
02/24/2004
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X 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 (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (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 Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common(1) 36,106.68 D
Common 12,171 I wife
Common 8,942 I child-Martha
Common 8,129 I child-Virginia
Common 4,821 I child-Rob
Common 13,962 I Trust
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) 3A. Deemed Execution Date, if any (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 Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: 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
Option(2) $26.25 05/04/1994 A 2,000 01/01/1997 05/04/2004 Common 2,000 $26.25 2,000 D
Option(2) $22.625 05/06/1997 A 80,000 11/06/1997 05/05/2007 Common 80,000 $22.625 80,000 D
Option(3) $32.25 03/24/1998 A 40,000 11/07/2000 03/23/2008 Common 40,000 $32.25 40,000 D
Option(3) $14.875 01/18/2000 A 25,556 01/18/2001 01/17/2010 Common 25,556 $14.875 25,556 D
Option(3) $14.875 01/18/2000 A 25,556 01/18/2002 01/17/2010 Common 25,556 $14.875 25,556 D
Option(3) $14.875 01/18/2000 A 25,556 01/18/2003 01/17/2010 Common 25,556 $14.875 25,556 D
Option(3) $14.7 01/15/2002 A 10,000 01/15/2003 01/14/2012 Common 10,000 $14.7 10,000 D
Option(3) $14.7 01/15/2002 A 10,000 01/15/2004 02/14/2012 Common 10,000 $14.7 10,000 D
Option(3) $14.7 01/15/2002 A 10,000 01/15/2005 01/14/2012 Common 10,000 $14.7 10,000 D
Option(3) $21.12 02/24/2004 A 50,000 11/15/2004 02/23/2014 Common 50,000 $21.12 50,000 D
Explanation of Responses:
1. Includes shares acquired under the 2000 Employee Stock Purchase Plan in transactions exempt under Rule 16b-3(a).
2. Granted under the 1993 Long Term Incentive Plan which is a Rule 16b-3 Plan.
3. Granted under the 1997 Employee Stock Plan which is a Rule 16b-3 Plan.
Robert H Spilman Jr 02/26/2004
** Signature of Reporting Person Date
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 Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.