0000851968-11-000040.txt : 20111207 0000851968-11-000040.hdr.sgml : 20111207 20111207165325 ACCESSION NUMBER: 0000851968-11-000040 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111205 FILED AS OF DATE: 20111207 DATE AS OF CHANGE: 20111207 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: 111249029 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 X0304 4 2011-12-05 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 2011-12-05 4 M 0 2250.0 38.7275 A 204490.0 D Common Stock 2011-12-05 4 S 0 1820.0 56.955 D 202670.0 D Common Stock 369.0 I Kolb Holdings, LP Common Stock 4820.0 I Minor Children Common Stock 721.0 I by Managed Account Non-Qualified Stock Option (right to buy) 38.7275 2011-12-05 4 M 0 2250.0 0.0 D 2007-01-01 2012-01-01 Common Stock 2250.0 0.0 D SHARES ARE EXERCISABLE ONE YEAR AFTER DATE OF GRANT AT 20% PER YEAR. DAVID L. KOLB 2011-12-07