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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1. Name and Address of Reporting Person*
COURTNEY H MARK

(Last) (First) (Middle)
240 AVALON WAY

(Street)
THOMASVILLE GA 31792

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
05/23/2019
3. Issuer Name and Ticker or Trading Symbol
FLOWERS FOODS INC [ FLO ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
President/Fresh Packaged Bread
5. If Amendment, Date of Original Filed (Month/Day/Year)
06/03/2019
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 45,761(1) D
Common Stock 516(2) I By 401(k)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. This Form 3/A has been filed to correct the inadvertent omission of 2,470 Time Based Restricted Stock Units ("TBRSUs") granted to reporting person under the Flowers Foods, Inc. 2014 Omnibus Equity and Incentive Compensation Plan pursuant to an agreement dated 12/30/2018, which TBRSUs will become non-forfeitable over the period running through January 5, 2022, with one-third (1/3) of the TBRSUs becoming non-forfeitable on each of (a) January 5, 2020, (ii) January 5, 2021, and (c) January 5, 2022, subject to reporting person having remained in the continuous employ of the Company and/or a Subsidiary until said date.
2. Total includes exempt acquisitions of shares allocated to reporting person under Issuer's 401(k) Plan, as of a statement dated 05/23/2019.
Remarks:
/s/ Stephanie B. Tillman, Agent 01/06/2020
** 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.