0001140361-12-001514.txt : 20120106 0001140361-12-001514.hdr.sgml : 20120106 20120106151444 ACCESSION NUMBER: 0001140361-12-001514 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120102 FILED AS OF DATE: 20120106 DATE AS OF CHANGE: 20120106 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WILLOCH RAYMOND S CENTRAL INDEX KEY: 0001095548 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33994 FILM NUMBER: 12514332 MAIL ADDRESS: STREET 1: 2859 PACES FERRY ROAD STREET 2: 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 X0304 4 2012-01-02 0 0000715787 INTERFACE INC IFSIA 0001095548 WILLOCH RAYMOND S 2859 PACES FERRY ROAD OVERLOOK III, SUITE 2000 ATLANTA GA 30339 0 1 0 0 Sr. Vice President Class B Common Stock 2012-01-02 4 D 0 2925 0 D 95015 D Class B Common Stock 2012-01-02 4 F 0 1071 11.54 D 93944 D Class B Common Stock 2012-01-04 4 C 0 1853 0 D 92091 D Class A Common Stock 2012-01-04 4 C 0 1853 0 A 71932 D Conversion of a security exempted pursuant to Rule 16(b)-6b. The reporting person exchanged Class B shares for Class A shares on a one-for-one basis. A substantial number of such shares are restricted shares subject to a risk of forfeiture under certain circumstances. /s/ David B. Foshee, Attorney in Fact 2012-01-06