-----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, TY/vkojnodBQTiBurypcOr9QPMrSIzrmmPWlkk8Ei7q3Uu1bIQeZ1T3mcLLYn6Yy m9kophSSzn3rLTp5cXmGCA== 0001140361-11-009672.txt : 20110215 0001140361-11-009672.hdr.sgml : 20110215 20110215095524 ACCESSION NUMBER: 0001140361-11-009672 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110102 FILED AS OF DATE: 20110215 DATE AS OF CHANGE: 20110215 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ANDERSON RAY C CENTRAL INDEX KEY: 0000937733 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33994 FILM NUMBER: 11612673 MAIL ADDRESS: STREET 1: C/O KILPATRICK & CODY STREET 2: 1100 PEACHTREE ST CITY: ATLANTA STATE: GA ZIP: 30309-4530 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 5 1 doc1.xml FORM 5 X0303 5 2011-01-02 0 0 0 0000715787 INTERFACE INC IFSIA 0000937733 ANDERSON RAY C 2859 PACES FERRY ROAD OVERLOOK III, SUITE 2000 ATLANTA GA 30339 1 0 0 0 Class A Common Stock 2009-05-13 5 G 0 L 2000 0 D 18000 I By Spouse Class B Common Stock 2010-11-15 5 G 0 2756 0 D 3523952 D Class B Common Stock 21568 I By 401(k) plan /s/ David B. Foshee, Attorney in Fact 2011-02-14 -----END PRIVACY-ENHANCED MESSAGE-----