-----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, EUC8cgCaDo1fOceqNmMsoGSoS8mSgkowOJw7cVBkXUgDZOTU4X9EF3ab+ODlQMEs J9JHPyKGlpxmkHSyCsDIHw== 0000715787-09-000002.txt : 20090102 0000715787-09-000002.hdr.sgml : 20090101 20090102131454 ACCESSION NUMBER: 0000715787-09-000002 CONFORMED SUBMISSION TYPE: 8-K PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20090102 ITEM INFORMATION: Entry into a Material Definitive Agreement ITEM INFORMATION: Financial Statements and Exhibits FILED AS OF DATE: 20090102 DATE AS OF CHANGE: 20090102 FILER: 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: 0317 FILING VALUES: FORM TYPE: 8-K SEC ACT: 1934 Act SEC FILE NUMBER: 001-33994 FILM NUMBER: 09500908 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 8-K 1 form8-k.htm AMENDMENT TO SPLIT DOLLAR INSURANCE AGREEMENT form8-k.htm



SECURITIES AND EXCHANGE COMMISSION
Washington, D.C.  20549

                                   

FORM 8-K
                                   

CURRENT REPORT

Pursuant to Section 13 or 15(d) of the
Securities Exchange Act of 1934

Date of Report (Date of Earliest Event Reported):  December 29, 2008

                                   


                              INTERFACE, INC.                         
(Exact name of Registrant as Specified in its Charter)


Georgia
 
000-12016
 
58-1451243
(State or other Jurisdiction of
Incorporation or Organization)
 
(Commission File
Number)
 
(IRS Employer
Identification No.)


2859 Paces Ferry Road, Suite 2000
Atlanta, Georgia
 
 
30339
(Address of principal executive offices)
 
(Zip code)

Registrant’s telephone number, including area code:  (770) 437-6800


                                       Not Applicable                                                                                         
(Former name or former address, if changed since last report)


Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):




o
Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
o
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
o
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
o
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))


 
 

 


 
ITEM 1.01          Entry into a Material Definitive Agreement.
 
On December 29, 2008, Interface, Inc. (the “Company”) entered into an Amendment to Split Dollar Insurance Agreement (the “Amendment”) with Daniel T. Hendrix, the President, Chief Executive Officer and a Director of the Company.  The objective of the Amendment was to bring certain provisions of the previously-existing Split Dollar Agreement between Mr. Hendrix and the Company, dated February 21, 1997, into compliance with Section 409A of the Internal Revenue Code of 1986, as amended, and the regulations adopted thereunder.

The foregoing description is qualified in its entirety by reference to the Amendment, a copy of which is filed herewith as Exhibit 99.1 and is incorporated by reference in this Item 1.01.

ITEM 9.01           Financial Statements And Exhibits.

(a)           Financial Statements of Businesses Acquired.

None.

(b)           Pro Forma Financial Information.

None.

(c)           Shell Company Transactions.

None.

(d)           Exhibits.

Exhibit No.
 
Description
99.1
 
Amendment to Split Dollar Insurance Agreement, dated December 29, 2008, by and between Daniel T. Hendrix and Interface, Inc.

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
 
 
INTERFACE, INC.
   
   
By:     
  /s/ Patrick C. Lynch
 
Patrick C. Lynch
 
Senior Vice President
Date:  January 2, 2009
 


 
 

 


EXHIBIT INDEX


Exhibit No.
 
Description
99.1
 
Amendment to Split Dollar Insurance Agreement, dated December 29, 2008, by and between Daniel T. Hendrix and Interface, Inc.





EX-99.1 2 ex99_1.htm AMENDMENT TO SPLIT DOLLAR INSURANCE AGREEMENT ex99_1.htm



AMENDMENT TO
SPLIT DOLLAR INSURANCE AGREEMENT


This Amendment to Split Dollar Insurance Agreement (this “Amendment”) is made and entered into on the 29 day of December, 2008, by and between DANIEL T. HENDRIX (hereinafter called “Employee”) and INTERFACE, INC. (hereinafter called “Employer”).

W I T N E S S E T H:

WHEREAS, Employee and Employer entered into a Split Dollar Insurance Agreement dated February 21, 1997 (the “Agreement”);

WHEREAS, the parties believe that Section 409A of the Internal Revenue Code of 1986, as amended (“Code Section 409A”), applies to a portion of the benefits under the Agreement and that the Agreement does not comply with the requirements of Code Section 409A;

WHEREAS, the parties believe that, with the modifications described in this Amendment, the Agreement will comply with Code Section 409A; and

WHEREAS, consistent with transition relief provided under section III.D.2 of Internal Revenue Service Notice 2007-34, Employee and Employer desire to modify the Agreement as set forth in this Amendment.

NOW, THEREFORE, in consideration of the mutual covenants and undertakings contained herein, and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties hereto agree as follows:

1. All capitalized terms used in this Amendment, unless otherwise defined herein, shall have the same meanings ascribed to such terms in the Agreement.

2. The first sentence of paragraph 2 of the Agreement is hereby deleted and the following is substituted in its place:

Employee shall be the owner of the Policy on his life, and may exercise all ownership rights granted to the owner thereof by the terms of the Policy; provided, (i) Employee will not be permitted to make any Policy withdrawals or Policy loans, or otherwise access or use Policy values, prior to the termination of this Agreement; and (ii) Employee will not take any action that would impair any right or interest of Employer in and to the Policy as provided herein.

 
 

 


3. Paragraph 7 of the Agreement is hereby deleted in its entirety and the following is substituted in its place:

7.           Termination Events.  This Agreement shall terminate automatically, subject to the provisions of paragraphs 8 and 9 below, on the six-month anniversary of the date on which Employee separates from service with Employer or, if earlier, on the six-month anniversary of the date on which Employee attains age 65 (unless such date is within six months following Employee’s separation from service).  For purposes of this Agreement, Employee shall be deemed to have separated from service when he has a “separation from service” as such term is defined in Section 409A of the Internal Revenue Code of 1986, as amended, and regulations and guidance issued thereunder. The provisions of this paragraph 7 shall replace and supersede any contrary or inconsistent term or provision of any plan, agreement or arrangement (including without limitation any employment agreement or contract) between the parties to this Agreement.

4. Paragraph 8 is hereby amended by deleting references to “within 270 days of the date of termination” and substituting in their place “within 90 days after the applicable date of termination under paragraph 7 above.”

5. Paragraph 9 is hereby amended by deleting the reference to “within 270 days” and substituting in its place “within 90 days.”

IN WITNESS WHEREOF, Employee has executed this Amendment, and Employer has caused this Amendment to be executed by a duly authorized representative, as of the date first set forth above.

   
EMPLOYEE:
     
/s/ Karen H. Daniel
 
/s/ Daniel T. Hendrix (SEAL)
Witness
 
DANIEL T. HENDRIX
     
     
   
EMPLOYER:
     
   
INTERFACE, INC.
     
 
   
/s/ Karen H. Daniel
 
By: /s/ Raymond S. Willoch
 Witness  
Title: Senior Vice President
   
[CORPORATE SEAL]


 
 

 

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