0001567619-18-008427.txt : 20181220 0001567619-18-008427.hdr.sgml : 20181220 20181220142440 ACCESSION NUMBER: 0001567619-18-008427 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181220 FILED AS OF DATE: 20181220 DATE AS OF CHANGE: 20181220 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MILLER JAMES B JR CENTRAL INDEX KEY: 0001115330 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33994 FILM NUMBER: 181245951 MAIL ADDRESS: STREET 1: C/O FIDELITY SOUTHERN CORPORATION STREET 2: 3490 PIEDMONT ROAD #1550 CITY: ATLANTA STATE: GA ZIP: 30305 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: 1230 BUSINESS ADDRESS: STREET 1: 1280 WEST PEACHTREE ST. NW CITY: ATLANTA STATE: GA ZIP: 30309 BUSINESS PHONE: 7704376800 MAIL ADDRESS: STREET 1: 1280 WEST PEACHTREE ST. NW CITY: ATLANTA STATE: GA ZIP: 30309 FORMER COMPANY: FORMER CONFORMED NAME: INTERFACE FLOORING SYSTEMS INC DATE OF NAME CHANGE: 19870817 4 1 doc1.xml FORM 4 X0306 4 2018-12-20 0 0000715787 INTERFACE INC TILE 0001115330 MILLER JAMES B JR 1280 WEST PEACHTREE ST. NW ATLANTA GA 30309 1 0 0 0 Common Stock 2018-12-20 4 M 0 5000 4.31 A 61297 D Stock Option (Right to Buy) 4.31 2018-12-20 4 M 0 5000 0 D 2010-01-12 2019-01-12 Common Stock 5000 0 D Conversion of a derivative security executed pursuant to Rule 16b-6 (b). /s/ David B. Foshee, Attorney in Fact 2018-12-20