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*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
COCA COLA BOTTLING CO CONSOLIDATED /DE/ [ COKE ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 04/21/2005 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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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 |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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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 | ||||||||
Class B Common Stock | (1) | 04/21/2005 | P(2) | 331,811 | (3) | (4) | Common Stock | 331,811 | $28.19 | 525,613 | I | See Footnotes(5)(6) | |||
Class B Common Stock | (1) | 04/21/2005 | P(2) | 331,811 | (3) | (4) | Common Stock | 331,811 | $28.19 | 525,613 | I | See Footnotes(6)(7) | |||
Class B Common Stock | (1) | 04/21/2005 | P(2) | 331,811 | (3) | (4) | Common Stock | 331,811 | $28.19 | 525,613 | I | See Footnotes(6)(7) | |||
Class B Common Stock | (1) | 04/21/2005 | W | V | 54,846 | (3) | (4) | Common Stock | 54,846 | $0 | 54,846 | I | See Footnotes(6)(8) | ||
Class B Common Stock | (1) | 04/21/2005 | W | V | 54,846 | (3) | (4) | Common Stock | 54,846 | $0 | 54,846 | I | See Footnotes(6)(9) | ||
Class B Common Stock | (1) | 04/21/2005 | W | V | 54,846 | (3) | (4) | Common Stock | 54,846 | $0 | 54,846 | I | See Footnotes(6)(9) |
Explanation of Responses: |
1. Class B Common Stock is convertible into Common Stock, on a share-for-share basis, at any time at the option of the holder thereof. |
2. Purchase of limited partnership interests in three family limited partnerships (the "Family LPs"). |
3. Immediately |
4. None |
5. Of such shares, 447,018 are held directly by one of the Family LPs and 78,595 are held directly by a trust of which the reporting person is co-trustee and beneficiary. Such trust also holds an indirect interest in the 447,018 shares held by the Family LP. |
6. The reporting person disclaims beneficial ownership in all reported securities except to the extent of her pecuniary interest therein. |
7. Of such shares, 447,018 are held directly by one of the Family LPs and 78,595 are held directly by a trust of which the reporting person is co-trustee. Such trust also holds an indirect interest in the 447,018 shares held by the Family LP. |
8. Such shares are held directly by one of the Family LPs and indirectly by two residuary trusts of which the reporting person is co-trustee and beneficiary. |
9. Such shares are held directly by one of the Family LPs and indirectly by two residuary trusts of which the reporting person is co-trustee. |
Deborah S. Harrison By: Sean M. Jones, Attorney-in-Fact | 04/25/2005 | |
** 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. |