SEC FORM
3
SEC Form 3
FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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: |
3235-0104 |
Estimated average burden |
hours per response: |
0.5 |
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1. Name and Address of Reporting Person*
3100 EAST HENNEPIN AVENUE |
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(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 02/26/2008
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3. Issuer Name and Ticker or Trading Symbol
HAWKINS INC
[ HWKN ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
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10% Owner |
X |
Officer (give title below) |
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Other (specify below) |
VP, CFO, Sec & Treas
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5. 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 Beneficially Owned |
1. Title of Security (Instr.
4)
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2.
Amount of Securities Beneficially Owned (Instr.
4)
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3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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4. Nature of Indirect Beneficial Ownership (Instr.
5)
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative Security (Instr.
4)
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2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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6. Nature of Indirect Beneficial Ownership (Instr.
5)
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Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Explanation of Responses: |
Remarks: |
No securities are beneficially owned. |
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/s/ W. Morgan Burns on behalf of Kathleen P. Pepski |
03/03/2008 |
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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
5
(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, Kathleen P. Pepski, hereby authorize and
designate each of Steven C. Kennedy, W. Morgan Burns,
Erik J. Romslo and Joshua Colburn, 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 27th day of
February, 2008.
/s/ Kathleen P. Pepski
fb.us.2641906.01