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
 
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
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)
08/26/2003
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 803(1) I Custodian for minor children
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 (2) (3) (4) Common Stock 180,000 180,000 D(5)
Class B Common Stock (2) (3) (4) Common Stock 260 260 I Custodian(6)
Class B Common Stock (2) (3) (4) Common Stock 1,998 1,998 I See Footnote(7)
Class B Common Stock (2) (3) (4) Common Stock 32,648 32,648 I See Footnote(8)
Class B Common Stock (2) (3) (4) Common Stock 32,648 32,648 I See Footnote(8)
Class B Common Stock (2) (3) (4) Common Stock 32,648 32,648 I See Footnote(8)
Class B Common Stock (2) 08/26/2003 P(9) 115,207 (3) (4) Common Stock 115,207 $26.04 193,802(10) I Trust(11)(13)
Class B Common Stock (2) 08/26/2003 P(9) 115,207 (3) (4) Common Stock 115,207 $26.04 193,802(10) I Trust(12)(13)
Class B Common Stock (2) 08/26/2003 P(9) 115,207 (3) (4) Common Stock 115,207 $26.04 193,802(10) I Trust(12)(13)
Explanation of Responses:
1. Such amount reflects the acquisition of shares pursuant to a dividend reinvestment program.
2. 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.
3. Immediately.
4. None.
5. Restricted Class B Common Stock that vests pursuant to the terms of the Restricted Stock Award Agreement approved by the shareholders at the Company's 1999 annual meeting.
6. Such shares are held as custodian for the reporting person's minor children.
7. Such shares are held by three family limited partnerships, in each of which a family limited liability company holds a general partnership interest. A family trust (of which the reporting person is a co-trustee and beneficiary) holds an equity interest in the family limited liability company.
8. Such shares are held by three family limited partnerships, in each of which the family trust holds a limited partnership interest.
9. Purchase of limited partnership interests from a family limited partnership.
10. Since the reporting person's last report, 235,786 shares previously held through a Remainder Trust have been apportioned pro-rata into three Sub-Trusts, each of which received 78,595 shares.
11. Such shares are held through a Trust of which the reporting person is a co-trustee and beneficiary.
12. Such shares are held through a Trust of which the reporting person is a co-trustee.
13. The reporting person disclaims beneficial ownership in all reported securities except to the extent of his pecuniary interest therein.
/s Sean M. Jones, Attorney-in-Fact 12/19/2003
** 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.