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 Number: |
3235-0287 |
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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
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 |
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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)
09/09/2004
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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 |
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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 |
| Common Stock |
09/09/2004 |
|
S |
|
1,950 |
D |
$12
|
111,721.589 |
D |
|
| Common Stock |
09/10/2004 |
|
S |
|
1,300 |
D |
$12
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110,421.589 |
D |
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| Common Stock |
09/13/2004 |
|
S |
|
1,288 |
D |
$12
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109,133.589 |
D |
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| Common Stock |
|
|
|
|
|
|
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12,324 |
I |
By ESOP Trustees |
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 |
| Explanation of Responses: |
|
/s/ W. Morgan Burns on behalf of Dean L. Hahn |
09/16/2004 |
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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, Dean L. Hahn, 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 7th day of
June, 2003.
Dean L. Hahn
