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*
BROWN PETER W DR

(Last) (First) (Middle)
4603 SULGRAVE ROAD

(Street)
RICHMOND VA 23221

(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
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
03/08/2004
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 03/08/2004 I 1,000 A $14 6,293 D
Common 03/08/2004 I 1,000 A $12.41 7,293 D
Common 03/08/2004 I 1,000 A $10.54 8,293 D
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(1) $27.75 10/01/1994 03/31/2004 COMMON 500 500 D
OPTION(1) $26.5 10/03/1995 04/02/2005 COMMON 500 500 D
OPTION(1) $25.75 10/02/1996 04/02/2006 COMMON 500 500 D
OPTION(1) $23.875 10/01/1997 04/02/2007 COMMON 500 500 D
OPTION(1) $27.75 05/07/1998 11/06/2007 COMMON 2,500 2,500 D
OPTION(1) $30.75 10/01/1998 03/31/2008 COMMON 1,000 1,000 D
OPTION(1) $23 10/01/1999 03/31/2009 COMMON 1,000 1,000 D
OPTION(1) $14 03/08/2004 D 1,000 10/03/2000 04/02/2010 COMMON 1,000 $14 0 D
OPTION(1) $12.41 03/08/2004 D 1,000 10/02/2001 04/01/2011 COMMON 1,000 $12.41 0 D
OPTION(1) $20.51 10/01/2002 03/31/2012 COMMON 1,000 1,000 D
OPTION(1) $10.54 03/08/2004 D 1,000 10/01/2003 03/31/2013 COMMON 1,000 $10.54 0 D
Explanation of Responses:
1. GRANTED UNDER THE 1993 STOCK PLAN FOR NON-EMPLOYEE DIRECTORS.
DR. Peter W. Brown 03/08/2004
** 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.
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