-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, GqSbYvq2KrxooKatxEy6eizVSVAKxYWtSYun5aHJ3BXcEXQzNXlu+CfmIWjS28o9 3p7tYPCjTw4F3CxbmzF86w== 0000950144-98-013273.txt : 19981124 0000950144-98-013273.hdr.sgml : 19981124 ACCESSION NUMBER: 0000950144-98-013273 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19981123 GROUP MEMBERS: DAVID M SHAHEEN AND JOHN A SHAHEEN GROUP MEMBERS: JOHN C STOPHEL GROUP MEMBERS: PIERA B SHAHEEN GROUP MEMBERS: SHAHEEN A SHAHEEN GROUP MEMBERS: SHAHEEN DAVID M SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MOHAWK INDUSTRIES INC CENTRAL INDEX KEY: 0000851968 STANDARD INDUSTRIAL CLASSIFICATION: CARPETS AND RUGS [2273] IRS NUMBER: 521604305 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-43681 FILM NUMBER: 98757754 BUSINESS ADDRESS: STREET 1: 160 S INDUSTRIAL BLVD STREET 2: PO BOX 12069 CITY: CALHOUN STATE: GA ZIP: 30701 BUSINESS PHONE: 7066297721 MAIL ADDRESS: STREET 1: P O BOX 12069 CITY: CALHOUN STATE: GA ZIP: 30703 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SHAHEEN DAVID M CENTRAL INDEX KEY: 0001074150 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: C/O CHOREY TAYLOR & FEIL STREET 2: 3399 PEACHTREE ROAD SUITE 1700 CITY: ATLANTA STATE: GA ZIP: 30326 BUSINESS PHONE: 4048413200 MAIL ADDRESS: STREET 1: C/O CHOREY TAYLOR & FEIL STREET 2: 3399 PEACHTREE ROAD SUITE 1700 CITY: ATLANTA STATE: GA ZIP: 30326 SC 13G 1 MOHAWK INDUSTRIES INC 1 SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 --------------- SCHEDULE 13G (RULE 13d-102) INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13d-1(b), (c), AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO RULE 13d-2(b) (AMENDMENT NO. )(1) ---- Mohawk Industries, Inc. 160 South Industrial Blvd., P.O. Box 12069, Calhoun, Georgia 30703 - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock - -------------------------------------------------------------------------------- (Title of Class of Securities) - -------------------------------------------------------------------------------- (CUSIP Number) November 12, 1998 - -------------------------------------------------------------------------------- (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [ ] Rule 13d-1(b) [ X ] Rule 13d-1(c) [ ] Rule 13d-1(d) - --------------- (1) The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). 2 (1) NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) David M. Shaheen --------------------------------------------------------------------- 22 Cal Neva Drive P.O. Box 973 Crystal Bay, NV 89402 (2) CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ X ] --------------------------------------------------------------------- (3) SEC USE ONLY --------------------------------------------------------------------- (4) CITIZENSHIP OR PLACE OF ORGANIZATION United States --------------------------------------------------------------------- (5) SOLE VOTING POWER NUMBER OF 2,195,197 SHARES -------------------------------------------------------- BENEFICIALLY (6) SHARED VOTING POWER OWNED BY 4,899,992 EACH -------------------------------------------------------- REPORTING (7) SOLE DISPOSITIVE POWER PERSON WITH 2,141,975 -------------------------------------------------------- (8) SHARED DISPOSITIVE POWER -------------------------------------------------------- (9) AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON --------------------------------------------------------------------- (10) CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [ ] N/A --------------------------------------------------------------------- (11) PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 8.5% --------------------------------------------------------------------- (12) TYPE OF REPORTING PERSON* IN --------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT! 3 (1) NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) Shaheen A. Shaheen --------------------------------------------------------------------- 22 Cal Neva Drive P.O. Box 973 Crystal Bay, NV 89402 (2) CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ X ] --------------------------------------------------------------------- (3) SEC USE ONLY --------------------------------------------------------------------- (4) CITIZENSHIP OR PLACE OF ORGANIZATION United States --------------------------------------------------------------------- (5) SOLE VOTING POWER NUMBER OF 249,446 SHARES -------------------------------------------------------- BENEFICIALLY (6) SHARED VOTING POWER OWNED BY 4,899,992 EACH -------------------------------------------------------- REPORTING (7) SOLE DISPOSITIVE POWER PERSON WITH 249,446 -------------------------------------------------------- (8) SHARED DISPOSITIVE POWER -------------------------------------------------------- (9) AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON --------------------------------------------------------------------- (10) CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [ ] N/A --------------------------------------------------------------------- (11) PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 8.5% --------------------------------------------------------------------- (12) TYPE OF REPORTING PERSON* IN --------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT! 4 (1) NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) Piera B. Shaheen --------------------------------------------------------------------- 22 Cal Neva Drive P.O. Box 973 Crystal Bay, NV 89402 (2) CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ X ] --------------------------------------------------------------------- (3) SEC USE ONLY --------------------------------------------------------------------- (4) CITIZENSHIP OR PLACE OF ORGANIZATION United States --------------------------------------------------------------------- (5) SOLE VOTING POWER NUMBER OF 253,771 SHARES -------------------------------------------------------- BENEFICIALLY (6) SHARED VOTING POWER OWNED BY 4,899,992 EACH -------------------------------------------------------- REPORTING (7) SOLE DISPOSITIVE POWER PERSON WITH 253,771 -------------------------------------------------------- (8) SHARED DISPOSITIVE POWER -------------------------------------------------------- (9) AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON --------------------------------------------------------------------- (10) CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [ ] N/A --------------------------------------------------------------------- (11) PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 8.5% --------------------------------------------------------------------- (12) TYPE OF REPORTING PERSON* IN --------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT! 5 (1) NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) David M. Shaheen and John A. Shaheen, as Co-Trustees pursuant to that certain Voting Trust Agreement dated April 30, 1992 --------------------------------------------------------------------- (2) CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ X ] --------------------------------------------------------------------- (3) SEC USE ONLY --------------------------------------------------------------------- (4) CITIZENSHIP OR PLACE OF ORGANIZATION United States --------------------------------------------------------------------- (5) SOLE VOTING POWER NUMBER OF 6,386 SHARES -------------------------------------------------------- BENEFICIALLY (6) SHARED VOTING POWER OWNED BY 4,899,992 EACH -------------------------------------------------------- REPORTING (7) SOLE DISPOSITIVE POWER PERSON WITH 6,386 -------------------------------------------------------- (8) SHARED DISPOSITIVE POWER -------------------------------------------------------- (9) AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON --------------------------------------------------------------------- (10) CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [ ] N/A --------------------------------------------------------------------- (11) PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 8.5% --------------------------------------------------------------------- (12) TYPE OF REPORTING PERSON* OO (Trustee) --------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT! 6 (1) NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) John A. Shaheen, as Trustee of the Revocable Trust of John A. Shaheen, dated July 12, 1996, the Shaheen A. and Piera B. Shaheen Trust, dated 12/10/74, and the Shaheen A. and Piera B. Shaheen Trust, dated 12/8/76 --------------------------------------------------------------------- (2) CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ X ] --------------------------------------------------------------------- (3) SEC USE ONLY --------------------------------------------------------------------- (4) CITIZENSHIP OR PLACE OF ORGANIZATION United States --------------------------------------------------------------------- (5) SOLE VOTING POWER NUMBER OF 1,173,325 SHARES -------------------------------------------------------- BENEFICIALLY (6) SHARED VOTING POWER OWNED BY 4,899,992 EACH -------------------------------------------------------- REPORTING (7) SOLE DISPOSITIVE POWER PERSON WITH 1,120,103 -------------------------------------------------------- (8) SHARED DISPOSITIVE POWER -------------------------------------------------------- (9) AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON --------------------------------------------------------------------- (10) CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [ ] N/A --------------------------------------------------------------------- (11) PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 8.5% --------------------------------------------------------------------- (12) TYPE OF REPORTING PERSON* OO (Trustee) --------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT! 7 (1) NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) John C. Stophel, as Trustee of the Shaheen A. Shaheen Trust, dated 12/15/72, the Piera B. Shaheen Trust, Dated 12/8/76, the John A. Shaheen Trust (J-1), dated 12/8/76, the John A. Shaheen Trust (J-2), dated 12/8/76, the John A. Shaheen Family Trust, dated 12/30/80, the Irrevocable Trust of John A. Shaheen (J-6), dated 12/27/82, the Irrevocable Trust of John A. Shaheen (J-7), dated 12/27/82, the Irrevocable Trust of John A. Shaheen (J-8), dated 3/24/83, the Irrevocable Trust of John A. Shaheen (J-9), dated 3/24/83, and the Irrevocable Trust of John A. Shaheen (J-10), dated 12/7/87 --------------------------------------------------------------------- 1000 Tallan Building 2 Union Square Chattanooga, TN 37402 (2) CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ X ] --------------------------------------------------------------------- (3) SEC USE ONLY --------------------------------------------------------------------- (4) CITIZENSHIP OR PLACE OF ORGANIZATION United States --------------------------------------------------------------------- (5) SOLE VOTING POWER NUMBER OF 1,021,867 SHARES -------------------------------------------------------- BENEFICIALLY (6) SHARED VOTING POWER OWNED BY 4,899,992 EACH -------------------------------------------------------- REPORTING (7) SOLE DISPOSITIVE POWER PERSON WITH 1,021,867 -------------------------------------------------------- (8) SHARED DISPOSITIVE POWER -------------------------------------------------------- (9) AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON --------------------------------------------------------------------- (10) CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [ ] N/A --------------------------------------------------------------------- (11) PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 8.5% --------------------------------------------------------------------- (12) TYPE OF REPORTING PERSON* OO (Trustee) --------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT! 8 SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. November 23, 1998 /s/ David M. Shaheen Date --------------------------------------- David M. Shaheen /s/ Shaheen A. Shaheen --------------------------------------- Shaheen A. Shaheen /s/ Piera B. Shaheen --------------------------------------- Piera B. Shaheen /s/ John A. Shaheen and David M. Shaheen --------------------------------------- John A. Shaheen and David M. Shaheen Co-Trustees /s/ John C. Stophel --------------------------------------- John C. Stophel Trustee /s/ John A. Shaheen --------------------------------------- John A. Shaheen Trustee -----END PRIVACY-ENHANCED MESSAGE-----