-----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, Hf83LyBbk5UA1owbxjDZKeQRy9JXcRQk8DoeTzw9fShqe2vOfpkPt/ttSTh1KvcC dlTJyweShVSbymoPJR6wDA== 0001167966-05-000818.txt : 20050613 0001167966-05-000818.hdr.sgml : 20050611 20050613102831 ACCESSION NUMBER: 0001167966-05-000818 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050613 FILED AS OF DATE: 20050613 DATE AS OF CHANGE: 20050613 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: ANDERSON RAY C CENTRAL INDEX KEY: 0000937733 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-12016 FILM NUMBER: 05891441 BUSINESS ADDRESS: STREET 1: 2859 PACES FERRY ROAD STREET 2: SUITE 2000 CITY: ATLANTA STATE: GA ZIP: 30339 MAIL ADDRESS: STREET 1: C/O KILPATRICK & CODY STREET 2: 1100 PEACHTREE ST CITY: ATLANTA STATE: GA ZIP: 30309-4530 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2005-06-13 0000715787 INTERFACE INC IFSIA 0000937733 ANDERSON RAY C 2859 PACES FERRY ROAD SUITE 2000 ATLANTA GA 30339 1 0 0 0 Class A Common Stock 2005-06-13 4 M 0 10000 4.25 A 10000 D Class A Common Stock 2005-06-13 4 M 0 3000 4.75 A 13000 D Class A Common Stock 2005-06-13 4 M 0 40000 4.8125 A 53000 D Class A Common Stock 15000 I Spouse Employee Stock Option (Right to Buy) 4.25 2005-06-13 4 M 0 10000 0 D 2000-10-28 2009-10-28 Class A or Class B Common Sock 10000 0 D Employee Stock Option (Right to Buy) 4.75 2005-06-13 4 M 0 3000 0 D 2002-11-26 2011-11-26 Class A or Class B Common Stock 3000 2000 D Employee Stock Option (Right to Buy) 4.8125 2005-06-13 4 M 0 40000 0 D 2001-01-04 2010-01-04 Class A or Class B Common Stock 40000 40000 D Exercise of a derivative security exempted pursuant to Rule 16b-6(b) The reporting person disclaims beneficial ownership of the shares held by his spouse. Ray C. Anderson 2005-06-13 -----END PRIVACY-ENHANCED MESSAGE-----