0001140361-11-028476.txt : 20110518 0001140361-11-028476.hdr.sgml : 20110518 20110518141247 ACCESSION NUMBER: 0001140361-11-028476 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110516 FILED AS OF DATE: 20110518 DATE AS OF CHANGE: 20110518 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KOLB DAVID L CENTRAL INDEX KEY: 0000903198 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13970 FILM NUMBER: 11854460 MAIL ADDRESS: STREET 1: MOHAWK INDUSTRIES INC STREET 2: P O BOX 12069 CITY: CALHOUN STATE: GA ZIP: 30703 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CHROMCRAFT REVINGTON INC CENTRAL INDEX KEY: 0000884130 STANDARD INDUSTRIAL CLASSIFICATION: HOUSEHOLD FURNITURE [2510] IRS NUMBER: 351848094 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1330 WIN HENTSCHEL BLVD., SUITE 250 CITY: WEST LAFAYETTE STATE: IN ZIP: 47906 BUSINESS PHONE: 7658072640 MAIL ADDRESS: STREET 1: 1330 WIN HENTSCHEL BLVD., SUITE 250 CITY: WEST LAFAYETTE STATE: IN ZIP: 47906 4 1 doc1.xml FORM 4 X0303 4 2011-05-16 0 0000884130 CHROMCRAFT REVINGTON INC CRC 0000903198 KOLB DAVID L 1330 WIN HENTSCHEL BLVD. SUITE 250 WEST LAFAYETTE IN 47906 1 0 0 0 Common Stock 2011-05-16 4 A 0 8750 0 A 38296 D Myron D. Hamas, attorney-in-fact 2011-05-18