SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
Baker David C

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

(Street)
BASSETT VA 24055

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
08/03/2015
3. Issuer Name and Ticker or Trading Symbol
BASSETT FURNITURE INDUSTRIES INC [ BSET ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
SVP, Corporate Retail
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common 14,048 D
Common 3,600(3) D
Common 3,000(4) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Option(1) 04/20/2008 04/19/2017 Common 5,000 14.73 D
Option(1) 04/20/2009 04/19/2017 Common 5,000 14.73 D
Option(1) 04/20/2010 04/19/2017 Common 5,000 14.73 D
Option(2) 07/14/2012 07/13/2021 Common 1,750 8.02 D
Option(2) 07/14/2013 07/13/2021 Common 1,750 8.02 D
Option(2) 07/14/2014 07/13/2021 Common 1,750 8.02 D
Explanation of Responses:
1. Granted under the 1997 Employee Stock Plan which is a Rule 16b-3 Plan.
2. Granted under the 2010 Employee Stock Plan which is a Rule 16b-3 Plan.
3. Restrictions on sale and risk of forfeiture until one-third vesting if continuously employed each 07/17/2016, 07/17/2017 and 07/17/2018 or earlier upon death or retirement, also, subject to sale restriction in accordance with the Compnay's stock ownership guidlines.
4. Restrictions on sale and risk of forfeiture until vesting after 2 years of continuous service from issuance date (01/22/2015), or earlier upon death or retirement, also, subject to sale restriction in accordance with the Compnay's stock ownership guidlines.
David C Baker 08/11/2015
** 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 5 (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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