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North Julia B – ‘4’ for 4/29/03 re: Winn Dixie Stores Inc.

On:  Wednesday, 4/30/03, at 10:37am ET   ·   For:  4/29/03   ·   Accession #:  1183380-3-5   ·   File #:  1-03657

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  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer

 4/30/03  North Julia B                     4          Director    1:24K  Winn Dixie Stores Inc.

Statement of Changes in Beneficial Ownership of Securities by an Insider   —   Form 4   —   SEA’34
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 4           Statement of Changes in Beneficial Ownership of     HTML     25K 
                Securities by an Insider                                         


This is an HTML Document rendered as filed.  [ Alternative Formats ]



  Form 4  

FORM 4

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

OMB APPROVAL

    Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940

OMB Number: 3235-0287
Expires: January 31, 2005
Estimated average burden
hours per response. . .0.5


Filed By
Romeo and Dye's
Section 16 Filer
www.section16.net



1. Name and Address of Reporting Person*

North, Julia B.

2. Issuer Name and Ticker or Trading Symbol
Winn-Dixie Stores, Inc. (WIN)

6. Relationship of Reporting Person(s)
to Issuer (Check all applicable)
X Director                                       10% Owner
    Officer (give title below)          Other (specify below)

                                                  

(Last)      (First)     (Middle)

76 Brighton Road, NE
 

3. I.R.S. Identification Number
of Reporting Person,
if an entity (voluntary)

 

4. Statement for
Month/Day/Year
04/29/2003

(Street)

Atlanta, GA 30309

5. If Amendment,
Date of Original
(Month/Day/Year)
 
7. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
    Form filed by More than One Reporting Person

(City)     (State)     (Zip)

Table I — Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1. Title of Security
(Instr. 3)

2. Trans-
action
Date
(Month/ Day/
Year)

2A. Deemed
Execution
Date,
if any
(Month/Day/
Year)

3. Trans-
action Code
(Instr. 8)

4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 & 5)

5. Amount of
Securities
Beneficially
Owned Follow-
ing Reported Transactions(s)
(Instr. 3 & 4)

6. Owner-
ship 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

 

 

 

 

 

 

 

652

D

 

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).

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 control number

FORM 4 (continued)

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. Conver-
sion or
Exercise
Price of Derivative Security

3. Trans-
action Date

(Month/
Day/
Year)

3A. Deemed
Execution
Date,
if any
(Month/
Day/
Year)

4. Trans-
action
Code

(Instr. 8)

5. Number of Derivative Securities Acquired (A) or Disposed of (D)

(Instr. 3, 4 & 5)

6. Date Exercisable
and Expiration
Date
(Month/Day/
Year)

7. Title and Amount of Underlying Securities
(Instr. 3 & 4)

8. Price of Derivative Security
(Instr. 5)

9. Number of
Derivative
Securities
Beneficially
Owned
Following
Reported Transaction(s)
(Instr. 4)

10. Owner-
ship Form
of Deriv-
ative
Security:
Direct (D)
or Indirect (I)
(Instr. 4)

11. Nature of Indirect Beneficial Ownership
(Instr. 4)

Code

V

(A)

(D)

Date Exer-cisable

Expira-
tion
Date

Title

Amount or Number of
Shares

Director's Stock Opt (right to buy)(1)

$14.25

 

 

 

 

 

 

 

01/15/08

Common Stock

 

 

2,500

D

 

Director's Stock Opt (right to buy)(1)

$11.14

 

 

 

 

 

 

 

01/15/09

Common Stock

 

 

2,500

D

 

Director's Stock Opt (right to buy)(1)

$12.67

 

 

 

 

 

 

 

01/15/10

Common Stock

 

 

5,000

D

 

Phantom Stock Units

$12.51(2)

04/29/2003(3)

 

A

 

120

 

 

 (4)

Common Stock(4)

120

 

18,071

D

 

Explanation of Responses:

(1) Options granted under Stock Plan for Directors.
(2) 1-for-1
(3) The Phantom Stock Units were accrued under the Directors' Deferred Fee Plan on April 29, 2003 at a price of $12.51.
(4) The units are to be settled in cash upon the reporting person's retirement, either in a lump sum or, at the election of the Director, in annual installments, subject to Winn-Dixie's option to accelerate payment.

  By: /s/ Julia B. North
             By: WINN-DIXIE STORES, INC., Judith W. Dixon, Secretary, Attorney-in-Fact
**Signature of Reporting Person
04/30/2003
Date

**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.

 


Dates Referenced Herein

This ‘4’ Filing    Date    Other Filings
1/31/05None on these Dates
Filed on:4/30/03
For Period end:4/29/03
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Filing Submission 0001183380-03-000005   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

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