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*
HARRISON J FRANK III

(Last) (First) (Middle)
4100 COCA COLA PLAZA

(Street)
CHARLOTTE NC 28211

(City) (State) (Zip)
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)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
Chairman and CEO
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)
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 Stock 403 I Custodial Account(1)
Common Stock 400 I Trust(2)
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
Class B Common Stock (3) (4) (5) Common Stock 180,000 180,000 D(6)
Class B Common Stock (3) (4) (5) Common Stock 260 260 I See Footnote(7)
Class B Common Stock (3) (4) (5) Common Stock 1,998 1,998 I See Footnotes(8)(9)
Class B Common Stock (3) (4) (5) Common Stock 32,648 32,648 I See Footnotes(9)(10)
Class B Common Stock (3) (4) (5) Common Stock 32,648 32,648 I See Footnotes(9)(10)
Class B Common Stock (3) (4) (5) Common Stock 32,648 32,648 I See Footnotes(9)(10)
Class B Common Stock (3) 04/21/2005 P(11) 331,811 (4) (5) Common Stock 331,811 $28.19 525,613 I See Footnotes(9)(12)
Class B Common Stock (3) 04/21/2005 P(11) 331,811 (4) (5) Common Stock 331,811 $28.19 525,613 I See Footnotes(9)(13)
Class B Common Stock (3) 04/21/2005 P(11) 331,811 (4) (5) Common Stock 331,811 $28.19 525,613 I See Footnotes(9)(13)
Class B Common Stock (3) 04/21/2005 W V 54,846 (4) (5) Common Stock 54,846 $0 54,846 I See Footnotes(9)(14)
Class B Common Stock (3) 04/21/2005 W V 54,846 (4) (5) Common Stock 54,846 $0 54,846 I See Footnotes(9)(15)
Class B Common Stock (3) 04/21/2005 W V 54,846 (4) (5) Common Stock 54,846 $0 54,846 I See Footnotes(9)(15)
Explanation of Responses:
1. Such shares are held in custodial accounts for certain of the reporting person's children.
2. Such shares are held in trust for the benefit of certain of the reporting person's children.
3. 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.
4. Immediately
5. None
6. Restricted Class B Common Stock that vests pursuant to the terms of a Restricted Stock Award Agreement approved by stockholders of the Company at the Company's 1999 annual meeting.
7. Such shares are held in trust for the benefit of certain of the reporting person's children.
8. Such shares are held directly by three family limited partnerships (the "Family LPs"), in each of which a family limited liability company (the "Family LLC") holds a general partnership interest. A family trust, of which the reporting person is a co-trustee and beneficiary (the "Family Trust"), holds an equity interest in the Family LLC.
9. The reporting person disclaims beneficial ownership in all reporting securities except to the extent of his pecuniary interest therein.
10. Such shares are held directly by the three Family LPs, in each of which the Family Trust holds a limited partnership interest.
11. Purchase of limited partnership interests in the three Family LPs.
12. 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.
13. 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.
14. 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.
15. 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.
J. Frank Harrison, III 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).
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