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)
03/29/2010
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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)
|
Director |
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10% Owner |
| X |
Officer (give title below) |
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Other (specify below) |
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President
|
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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 |
|
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)
|
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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| Common Stock |
12,480.503
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D |
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| Common Stock |
11,334.9229 |
I |
By ESOP Trustee |
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
|
|---|
| 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: |
|
|
/s/ W. Morgan Burns, on behalf of Patrick H. Hawkins |
04/07/2010 |
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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, Patrick H. Hawkins, hereby authorize and designate each
of Richard G. Erstad, Steven C. Kennedy, W. Morgan Burns,
Erik J. Romslo and Joshua L. 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 ID, 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 ID, 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 ID, 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 an employee of the Company,
or 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 1st day of April, 2010.
/s/ Patrick H. Hawkins
