0000851968-12-000007.txt : 20120105 0000851968-12-000007.hdr.sgml : 20120105 20120105102331 ACCESSION NUMBER: 0000851968-12-000007 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120103 FILED AS OF DATE: 20120105 DATE AS OF CHANGE: 20120105 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: 12509519 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 2012-01-03 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 2012-01-03 4 A 0 1000.0 0.0 A 203670.0 D Common Stock 369.0 I Kolb Holdings, LP Common Stock 4820.0 I Minor Children Common Stock 671.0 I by Managed Account Phantom Stock 0.0 2012-01-03 4 A 0 603.0 53.73 A Common Stock 603.0 3585.0 D RSUs vest over 5 years 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 2012-01-05