-----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, Cfx/RZ6ZFw2uhfLcnTJPWPI+rg1mY32uRhiyZwcnlSZreosy1yaAMknQjXhgUn+y xYiJq/rWKVBOa8hjcYMeUQ== 0001140361-10-051427.txt : 20101228 0001140361-10-051427.hdr.sgml : 20101228 20101228160626 ACCESSION NUMBER: 0001140361-10-051427 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20101227 FILED AS OF DATE: 20101228 DATE AS OF CHANGE: 20101228 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CALLAWAY EDWARD C CENTRAL INDEX KEY: 0001267314 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33994 FILM NUMBER: 101276048 MAIL ADDRESS: STREET 1: C/O INTERFACE, INC. STREET 2: 2859 PACES FERRY ROAD, SUITE 2000 CITY: ATLANTA STATE: GA ZIP: 30339 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: 0317 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 4 1 doc1.xml FORM 4 X0303 4 2010-12-27 0 0000715787 INTERFACE INC IFSIA 0001267314 CALLAWAY EDWARD C 2859 PACES FERRY ROAD OVERLOOK III, SUITE 2000 ATLANTA GA 30339 1 0 0 0 Class B Common Stock 2010-12-27 4 M 0 20000 5.22 A 41000 D Class B Common Stock 2010-12-27 4 M 0 2500 4.31 A 43500 D Stock Option (Right to Buy) 5.22 2010-12-27 4 M 0 20000 0 D 2004-10-22 2013-10-22 Class A or Class B Common Stock 20000 0 D Stock Option (Right to Buy) 4.31 2010-12-27 4 M 0 2500 0 D 2010-01-12 2019-01-12 Class A or Class B Common Stock 2500 2500 D Exercise of a derivative security exempted pursuant to Rule 16b-6(b). A substantial number of such shares are restricted shares subject to a risk of forfeiture under certain circumstances. The option vested and became exercisable at the rate of 20% per year. The first increment became exercisable on October 22, 2004. 50% of the option became exercisable on the first anniversary of the grant date, and the remaining 50% of the option vests and becomes exercisable on January 12, 2011 /s/ David B. Foshee, Attorney in Fact 2010-12-28 -----END PRIVACY-ENHANCED MESSAGE-----