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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|
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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*
| 3100 EAST HENNEPIN AVENUE |
|
(Street)
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2. Issuer Name and Ticker or Trading Symbol
HAWKINS INC
[ HWKN ]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
| X |
Director |
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10% Owner |
| X |
Officer (give title below) |
|
Other (specify below) |
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Chairman and CEO
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|
3. Date of Earliest Transaction
(Month/Day/Year)
03/15/2004
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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 |
|
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)
|
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 |
| Common Stock |
03/15/2004 |
|
S |
|
1,500 |
D |
$12.29
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62,961.898 |
D |
|
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Common Stock
|
|
|
|
|
|
|
|
125,107 |
I |
By ESOP Trustees |
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)
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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 |
| Explanation of Responses: |
|
|
W. Morgan Burns on behalf of John R. Hawkins |
03/16/2004 |
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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. |
POWER OF ATTORNEY
I, John R. Hawkins, hereby authorize and designate each
of Steven C. Kennedy, W. Morgan Burns and Matthew B.
Krush, signing singly, as my true and lawful attorney-
in-fact to:
(1) execute for and on my behalf, in my capacity
as an officer and/or director of Hawkins, Inc. (the
"Company"), Forms 3, 4 and 5 in accordance with Section
16(a) of the Securities Exchange Act of 1934, as
amended (the "Exchange Act"), and the rules and
regulations promulgated thereunder;
(2) do and perform any and all acts for and on my
behalf which may be necessary or desirable to complete
and execute any such Form 3, 4 or 5 and timely file
such form with the Securities and Exchange Commission,
any stock exchange or similar authority, and the
National Association of Securities Dealers; and
(3) take any other action of any type whatsoever
in connection with the foregoing which, in the opinion
of such attorney-in-fact, may be to my benefit, in my
best interest, or legally required of me, it being
understood that the statements executed by such
attorney-in-fact on my behalf pursuant to this Power of
Attorney shall be in such form and shall contain such
terms and conditions as such attorney-in-fact may
approve in such attorney-in-fact's discretion.
I hereby further grant to each such attorney-in-fact
full power and authority to do and perform any and
every act and thing whatsoever requisite, necessary, or
proper to be done in the exercise of any of the rights
and powers herein granted, as fully to all intents and
purposes as I might or could do if personally present,
with full power of substitutes or revocation, hereby
ratifying and confirming all that such attorney-in-
fact, or such attorney-in-fact's substitute or
substitutes, shall lawfully do or cause to be done by
virtue of this Power of Attorney and the rights and
powers herein granted. I hereby acknowledge that the
foregoing attorneys-in-fact, in serving in such
capacity at my request, are not assuming, nor is the
Company assuming, any of my responsibilities to comply
with Section 16 of the Exchange Act.
This Power of Attorney shall remain in full force and
effect until I am no longer required to file Forms 3, 4
and 5 with respect to my holdings of and transactions
in securities issued by the Company, unless earlier
revoked by me in a signed writing delivered to the
foregoing attorneys-in-fact. Notwithstanding the
foregoing, if any such attorney-in-fact hereafter
ceases to be either a partner or employee of Faegre &
Benson LLP, this Power of Attorney shall be
automatically revoked solely as to such individual,
immediately upon such cessation, without any further
action on my part.
I hereby revoke all previous Powers of Attorney that
have been granted by me in connection with my reporting
obligations under Section 16 of the Exchange Act with
respect to my holdings of and transactions in
securities issued by the Company.
IN WITNESS WHEREOF, I have caused this Power of
Attorney to be duly executed as of this _______ day of
June, 2003.
John R. Hawkins
M1:989725.01
