-----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, F6esPnSBcu4SHP9u4w6uU6e4OhwbhMHQ7lgsBzkmCYPNo6GcxKrKgP/qke8Ihi13 Nt+1WG5Kxv5pmJCFWY3sOw== 0001188112-04-001278.txt : 20040826 0001188112-04-001278.hdr.sgml : 20040826 20040826112037 ACCESSION NUMBER: 0001188112-04-001278 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050824 FILED AS OF DATE: 20040826 DATE AS OF CHANGE: 20040826 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: LYNCH PATRICK C CENTRAL INDEX KEY: 0001145964 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-12016 FILM NUMBER: 04997816 BUSINESS ADDRESS: STREET 1: 2859 PACES FERRY RD CITY: ATLANTA STATE: GA ZIP: 30339 BUSINESS PHONE: 7704376800 MAIL ADDRESS: STREET 1: 2859 PACES FERRY RD STREET 2: STE 2000 CITY: ATLANTA STATE: GA ZIP: 30339 4 1 t3420_ex.xml X0202 4 2005-08-24 0 0000715787 INTERFACE INC IFSIA 0001145964 LYNCH PATRICK C 2859 PACES FERRY RD ATLANTA GA 30339 0 1 0 0 VP & CFO Class B Common Stock 2004-08-24 4 C 0 10000 D 53333 D Class A Common Stock 2004-08-24 4 C 0 10000 A 10000 D Conversion of a security exempted pursuant to Rule 16b-6(b). 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/ Patrick C. Lynch 2004-08-25 -----END PRIVACY-ENHANCED MESSAGE-----