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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OMB APPROVAL |
OMB Number: |
3235-0287 |
Estimated average burden |
hours per response: |
0.5 |
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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 ]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X |
Director |
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10% Owner |
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Officer (give title below) |
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Other (specify below) |
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3. Date of Earliest Transaction
(Month/Day/Year) 08/26/2003
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4. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
X |
Form filed by One Reporting Person |
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Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
1. Title of Security (Instr.
3)
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2. Transaction Date
(Month/Day/Year) |
2A. Deemed Execution Date, if any
(Month/Day/Year) |
3. Transaction Code (Instr.
8)
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4. Securities Acquired (A) or Disposed Of (D) (Instr.
3, 4 and 5)
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5.
Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr.
3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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7. Nature of Indirect Beneficial Ownership (Instr.
4)
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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)
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2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date
(Month/Day/Year) |
3A. Deemed Execution Date, if any
(Month/Day/Year) |
4. Transaction Code (Instr.
8)
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5.
Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr.
3, 4 and 5)
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6. Date Exercisable and Expiration Date
(Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr.
3 and 4)
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8. Price of Derivative Security (Instr.
5)
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9.
Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr.
4)
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10. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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11. Nature of Indirect Beneficial Ownership (Instr.
4)
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Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Class B Common Stock |
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08/26/2003 |
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P
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115,207 |
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Common Stock |
115,207 |
$26.04
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193,802
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I |
Trust
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Class B Common Stock |
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08/26/2003 |
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P
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115,207 |
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Common Stock |
115,207 |
$26.04
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193,802
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I |
Trust
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Class B Common Stock |
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08/26/2003 |
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P
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115,207 |
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Common Stock |
115,207 |
$26.04
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193,802
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I |
Trust
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Explanation of Responses: |
Remarks: |
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/s Sean M. Jones, Attorney-in-Fact |
12/19/2003 |
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** 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. |
EXHIBIT 24
POWER OF ATTORNEY
The undersigned constitutes and appoints HENRY W.
FLINT, SEAN M. JONES AND L.THOMAS MCLEAN, JR. her true
and lawful attorneys-in-fact and agents, with full powers
of substitution and resubstitution, for her and in her
name, place and stead, in any and all capacities, to sign
any Forms and other filings under Section 16(a) of the
Securities Exchange Act of 1934 with respect to securities
issued by Coca-Cola Bottling Co. Consolidated and to file
the same, with all exhibits thereto, and other documents
in connection therewith, with the Securities and Exchange
Commission and any exchange on which securities issued by
Coca-Cola Bottling Co. Consolidated may be listed, granting
unto said attorneys-in-fact and agents full power and
authority to do and perform each and every act and thing
requisite and necessary to be done in and about the
premises, as fully to all intents and purposes as she
might or could do in person, hereby ratifying and con-
firming all that said attorneys-in-fact and agents, each
acting alone, or his substitute or substitutes, may law-
fully do or cause to be done by virtue hereof, and the
undersigned does hereby ratify and confirm all filings with
the Securities and Exchange Commission of any and all
reports on Forms 3, 4 or 5 heretofore made by said
attorneys-in-fact on behalf of the undersigned. The
under signed acknowledges that the foregoing attorneys-
in-fact, in serving in such capacity at the request of
the undersigned, are not assuming any of the undersigned's
responsibilities to comply with Section 16 of the
Securities Exchange Act of 1934. This Power of Attorney
is valid and effective until the under-signed is no longer
required to file Forms 3, 4 and 5 with respect to the
undersigned's holdings of and transactions in securities
issued by Coca-Cola Bottling Co. Consolidated, unless
earlier revoked by the undersigned in a signed writing
delivered to the foregoing attorneys-in-fact.
Date: May 21, 2003 /s Deborah S. Harrison [SEAL]
Deborah S. Harrison