-----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, AeDP6zZQH1ijpNk4X0C1pC9cxtTZjlXfLvqg6gt+Vf1OjOCq0SHk8yQGkxdfIMJM eABYkR1vn6/Bu7CPwPMC/g== 0000851968-09-000022.txt : 20090828 0000851968-09-000022.hdr.sgml : 20090828 20090828122547 ACCESSION NUMBER: 0000851968-09-000022 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090827 FILED AS OF DATE: 20090828 DATE AS OF CHANGE: 20090828 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KOLB DAVID L CENTRAL INDEX KEY: 0000903198 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13697 FILM NUMBER: 091042165 MAIL ADDRESS: STREET 1: MOHAWK INDUSTRIES INC STREET 2: P O BOX 12069 CITY: CALHOUN STATE: GA ZIP: 30703 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MOHAWK INDUSTRIES INC CENTRAL INDEX KEY: 0000851968 STANDARD INDUSTRIAL CLASSIFICATION: CARPETS AND RUGS [2273] IRS NUMBER: 521604305 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 160 S INDUSTRIAL BLVD STREET 2: PO BOX 12069 CITY: CALHOUN STATE: GA ZIP: 30701 BUSINESS PHONE: 678-355-5814 MAIL ADDRESS: STREET 1: P O BOX 12069 CITY: CALHOUN STATE: GA ZIP: 30703 4 1 edgardoc.xml PRIMARY DOCUMENT X0303 4 2009-08-27 0 0000851968 MOHAWK INDUSTRIES INC MHK 0000903198 KOLB DAVID L 160 SOUTH INDUSTRIAL BLVD. P.O. BOX 12069 CALHOUN GA 30703 1 0 0 0 Common Stock 2009-08-27 4 X 1 100000 49.27 A 402740 D Common Stock 2009-08-28 4 P 1 100000 69.84 D 302740 D Common Stock 1750 I Kolb Foundation Common Stock 369 I Kolb Holdings, LP Common Stock 4820 I Minor Children Common Stock 721 I by Managed Account Call Option (obligation to sell) 118.7891 2009-08-27 4 E 1 100000 0 D 2009-08-27 2009-08-27 Common Stock 100000 0 D Put Option (right to sell) 69.84 2009-08-27 4 X 1 100000 0 D 2009-08-27 2009-08-27 Common Stock 100000 0 D Non-Qualified Stock Option (right to buy) 23.3281 2011-01-01 Common Stock 2250 2250 D Non-Qualified Stock Option (right to buy) 38.7275 2012-01-01 Common Stock 2250 2250 D Non-Qualified Stock Option (right to buy) 57.155 2013-01-01 Common Stock 2250 2250 D Non-Qualified Stock Option (right to buy) 61.3325 2014-01-01 Common Stock 2250 2250 D Non-Qualified Stock Option (right to buy) 75.095 2008-01-01 2017-01-01 Common Stock 2250 2250 D Non-Qualified Stock Option (right to buy) 81.4 2006-01-01 2015-01-01 Common Stock 2250 2250 D Non-Qualified Stock Option (right to buy) 83.1175 2007-01-01 2016-01-01 Common Stock 2250 2250 D Phantom Stock 0 Common Stock 1475 1475 D In connection with the settlement of a put option entered into on August 27, 2007, as part of a zero-cost collar arrangement, the reporting person received, for each share of stock subject to the option, a cash amount equal to the excess of the exercise price of $69.84 over the market price of $49.27 per share. On the same date, the related call option expired unexercised. SHARES ARE EXERCISABLE ONE YEAR AFTER DATE OF GRANT AT 20% PER YEAR. To be paid in cash or stock upon termination as a director. To be paid in cash or stock upon termination as a director. DAVID L. KOLB 2009-08-28 -----END PRIVACY-ENHANCED MESSAGE-----