-----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, EHSVC2513kURhk2h7pteVKNWLUWg3LU54qEEojztAGRxLkh+9yZdT17K4RSLBPjV Fs20+jVa8AZXtJ6uYNqPaQ== 0000715787-05-000013.txt : 20050914 0000715787-05-000013.hdr.sgml : 20050914 20050914135315 ACCESSION NUMBER: 0000715787-05-000013 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050913 FILED AS OF DATE: 20050914 DATE AS OF CHANGE: 20050914 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: INTERFACE INC CENTRAL INDEX KEY: 0000715787 STANDARD INDUSTRIAL CLASSIFICATION: CARPETS AND RUGS [2273] IRS NUMBER: 581451243 STATE OF INCORPORATION: GA FISCAL YEAR END: 0103 BUSINESS ADDRESS: STREET 1: 2859 PACES FERRY RD STREET 2: STE 2000 CITY: ATLANTA STATE: GA ZIP: 30339 BUSINESS PHONE: 7704376800 MAIL ADDRESS: STREET 1: 2859 PACES FERRY RD STREET 2: STE 2000 CITY: ATLANTA STATE: 2Q ZIP: 30339 FORMER COMPANY: FORMER CONFORMED NAME: INTERFACE FLOORING SYSTEMS INC DATE OF NAME CHANGE: 19870817 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BERTOLUCCI MICHAEL D CENTRAL INDEX KEY: 0001095549 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-12016 FILM NUMBER: 051084061 BUSINESS ADDRESS: BUSINESS PHONE: 7704376800 MAIL ADDRESS: STREET 1: 2859 PACES FERRY ROAD STREET 2: SUITE 2000 CITY: ATLANTA STATE: GA ZIP: 30339 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2005-09-13 0000715787 INTERFACE INC IFSIA 0001095549 BERTOLUCCI MICHAEL D 2859 PACES FERRY ROAD SUITE 2000 ATLANTA GA 30339 0 1 0 0 Senior Vice President Class A Common Stock 2005-09-13 4 M 0 8000 6.00 A 71932 D Class A Common Stock 2005-09-13 4 M 0 18700 4.8125 A 90632 D Class A Common Stock 2005-09-13 4 M 0 12000 5.60 A 102632 D Class A Common Stock 2005-09-13 4 S 0 2500 9.65 D 100132 D Class A Common Stock 2005-09-13 4 S 0 21420 9.62 D 78712 D Employee Stock Option (Right to Buy) 6.00 2005-09-13 4 M 0 8000 0 D 1997-04-01 2006-04-01 Class A or Class B Common Stock 8000 0 D Employee Stock Option (Right to Buy) 4.8125 2005-09-13 4 M 0 18700 0 D 2001-01-04 2010-01-04 Class A or Class B Common Stock 18700 0 D Employee Stock Option (Right to Buy) 5.60 2005-09-13 4 M 0 12000 0 D 2003-01-02 2012-01-02 Class A or Class B Common Stock 12000 8000 D Exercise of a derivative security exempted pursuant to Rule 16b-6(b) The option vested and became exercisable at the rate of 20% per year; the first increment became exercisable on April 1, 1997. The option vested and became exercisable at the rate of 20% per year; the first increment became exercisable on January 4, 2001. The option vests and becomes exercisable at the rate of 20% per year; the first increment became exercisable on January 2, 2003. /s/ Michael D. Bertolucci 2005-09-14 -----END PRIVACY-ENHANCED MESSAGE-----