-----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, UUVTXT64aeRPW+Ou1UQjThpzy8BcmPl7iormxoziN0NOOtX5RqFcZPTRGmwzSlh7 eB3w1nfNMvW5bgRFdTyAcg== 0001167966-04-001009.txt : 20041104 0001167966-04-001009.hdr.sgml : 20041104 20041104143600 ACCESSION NUMBER: 0001167966-04-001009 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041102 FILED AS OF DATE: 20041104 DATE AS OF CHANGE: 20041104 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 FORMER COMPANY: FORMER CONFORMED NAME: INTERFACE FLOORING SYSTEMS INC DATE OF NAME CHANGE: 19870817 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: 000-12016 FILM NUMBER: 041119266 BUSINESS ADDRESS: STREET 1: 2859 PACES FERRY ROAD STREET 2: SUITE 2000 CITY: ATLANTA STATE: GA ZIP: 30339 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 2004-11-02 0000715787 INTERFACE INC IFSIA 0001095548 WILLOCH RAYMOND S 2859 PACES FERRY ROAD, SUITE 2000 ATLANTA GA 30339 0 1 0 0 Sr. VP - Admin.; GC and Sec. Class A Common Stock 2004-11-02 4 S 0 12750 8.95 D 6211 D Class A Common Stock 2004-11-02 4 M 0 15000 4.8125 A 21211 D Employee Stock Option (Right to Buy) 4.8125 2004-11-02 4 M 0 15000 0 D 2001-01-04 2010-01-04 Class A or Class B Common Stock 15000 21000 D Exercise of a derivative security exempted pursuant to Rule 16b-6(b). The option vests and becomes exercisable at the rate of 20% per year, the first increment became exercisable on January 4, 2001. Raymond S. Willoch 2004-11-04 -----END PRIVACY-ENHANCED MESSAGE-----