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*
TOMS PAUL B JR

(Last) (First) (Middle)
HOOKER FURNITURE CORP
440 E COMMONWEALTH BLVD

(Street)
MARTINSVILLE VA 24112

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
HOOKER FURNITURE CORP [ HOFT ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Executive Officer
3. Date of Earliest Transaction (Month/Day/Year)
10/22/2004
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 01/23/2004 G V 62,840 A (1) 62,840 I By Paul Toms TUA
Common Stock 02/23/2004 G V 1,670 D (1) 58,736(2) D
Common Stock 03/05/2004 G V 172,620 D (1) 0 I By M.H.T & Descend. Trust
Common Stock 03/05/2004 G V 34,524 A (1) 34,524 I By Paul Toms POA 1983
Common Stock 07/13/2004 G V 500 D (1) 58,236 D
Common Stock 07/14/2004 G V 215 D (1) 58,021 D
Common Stock 07/26/2004 G V 246,992 D (1) 0 I By M.H.T. LLP
Common Stock 07/26/2004 G V 46,879 A (1) 172,559(2) I By Paul Toms TUA
Common Stock 07/26/2004 G V 2,470 A (1) 36,994 I By Paul Toms POA 1983
Common Stock 08/16/2004 G V 40 D (1) 4,776(2)(3) I By Son
Common Stock 09/24/2004 G V 524 D (1) 57,497 D
Common Stock 10/22/2004 S 1,010 D $23.16 171,549 I By Paul Toms TUA
Common Stock 360,924(2) I By MHT Trust U/W
Common Stock 10,352 I By ESOP
Common Stock 5,872(2)(3) I By Wife
Common Stock 10,770(2)(3) I By Son
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
Explanation of Responses:
1. No price as transaction was a gift.
2. On January 30, 2004 Hooker Furniture Corporation issued a stock dividend of one share of common stock for each outstanding, resulting in the reporting person's acquisition of 30,203 shares directly, 180,462 shares indirectly (by MHT Trust u/w), 62,840 shares indirectly (by Paul Toms TUA), 5,385 shares indirectly (by son), 2,408 shares indirectly (by son) and 2,936 shares indirectly (by wife).
3. Reporting person disclaims beneficial ownership of those shares, and this report shall not be deemed an admission that he is the beneficial owner of such shares for the purpose of Section 16 or for any other purpose.
//Robert W. Sherwood as attorney for Paul B. Toms, Jr. 10/26/2004
** 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.