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[ ] Check this box if no longer [ ] Form 3 Holdings Reported [ ] Form 4 Transactions Reported |
UNITED STATES SECURITIES AND EXCHANGE STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person* (Last) (First) (Middle) 4111 Mint Way |
2. Issuer Name and Ticker or Trading Symbol 3. IRS or Social Security Number of Reporting Persons (Voluntary) ###-##-#### |
6. Relationship of Reporting Person(s) to Issuer |
(Street) |
4. Statement for Month/Year |
7. Individual or Joint/Group Filing (Check Applicable) |
(City) (State) (Zip) |
5. If Amendment, Date of Original |
1. Title of Security |
2. Trans- |
3. Transaction |
4. Securities Acquired (A) |
5. Amount of |
6. Ownership |
7. Nature of |
Common Stock |
3,812(1) |
I |
by 401(k) |
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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).
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title |
2. Conver- |
3. Trans- |
4. Transac- |
5. Number |
6. Date Exer- |
7. Title and Amount |
8. Price |
9. Num- |
10. Own- |
11. Na- |
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Explanation of Responses:
(1) The Common Stock is held by a trust created under the Pillowtex Corporation 401(k) Plan (the "Plan"). The amount reported in Column 5 is based on a Plan Statement issued by the administrator of the Plan as of December 31, 1999 and
represents and estimate of the total number of shares that would be
available to the reporting person if holdings were to be liquidated on that date.
** Intentional misstatements or omission of facts constitute Federal Criminal |
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