0000851968-16-000210.txt : 20161216 0000851968-16-000210.hdr.sgml : 20161216 20161216171837 ACCESSION NUMBER: 0000851968-16-000210 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161214 FILED AS OF DATE: 20161216 DATE AS OF CHANGE: 20161216 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: 706-624-2032 MAIL ADDRESS: STREET 1: P O BOX 12069 CITY: CALHOUN STATE: GA ZIP: 30703 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LORBERBAUM JEFFREY S CENTRAL INDEX KEY: 0000925177 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13697 FILM NUMBER: 162057145 MAIL ADDRESS: STREET 1: MOHAWK INDUSTRIES INC STREET 2: P O BOX 12069 CITY: CALHOUN STATE: GA ZIP: 30703 4 1 edgardoc.xml PRIMARY DOCUMENT X0306 4 2016-12-14 0 0000851968 MOHAWK INDUSTRIES INC MHK 0000925177 LORBERBAUM JEFFREY S 160 SOUTH INDUSTRIAL BLVD. P.O. BOX 12069 CALHOUN GA 30703 1 1 1 0 Chairman and CEO Common Stock 2016-12-16 4 G 0 420668 0.0 D 36659 D Common Stock 2016-12-16 4 G 0 420668 0.0 A 420668 I Dalton Fund Common Stock 2016-12-14 4 J 0 302000 0.0 D 439140 I Dalton Partners Common Stock 2016-12-14 4 J 0 52000 0.0 D 334702 I PAS Trust Common Stock 8313785 I Aladdin Partners, LP Common Stock 194 I by Managed Account The reporting person received 302,000 shares from the Dynasty Trust and 52,000 shares from the PAS Trust, which transactions were exempt under Rule 16a-13 as a change in form of beneficial ownership. The reporting person previously reported his indirect beneficial ownership of all of these shares as held by Dalton Partners and the PAS Trust, respectively. Following these transactions, the reporting person beneficially owned, directly, 457,327 issuer shares. On December 15, 2016, the reporting person transferred by gift 420,668 of such shares to Dalton Fund, L.P. ("Dalton Fund"), which the reporting person controls as manager of Dalton Management Company LLC, the general partner of Dalton Fund. Following this transaction, the reporting person beneficially owns, directly, 36,659 issuer shares. The reporting person previously reported as indirectly beneficially owned 741,140 issuer shares held by Dalton Partners, L.P. ("Dalton Partners"). On December 14, 2016, Dalton Partners distributed 302,000 issuer shares to The Lorberbaum Dynasty Trust (the "Dynasty Trust"), which the reporting person controls as distribution trustee. On December 14, 2016, the Dynasty Trust distributed the 302,000 issuer shares it received from Dalton Partners to the reporting person directly. The Dynasty Trust no longer holds any issuer shares. The reporting person and the family affiliates retained investment control of the respective amount of shares they controlled prior to the distribution by Dalton Partners and there was no sale or disposition of issuer shares to third parties. Reflects ownership following the transfer by PAS Trust of 52,000 issuer shares to the reporting person directly, which transaction was exempt under Rule 16a-13 as a change in form of beneficial ownership. Following this transaction, the reporting person beneficially owned, directly, 155,327 issuer shares. JEFFREY S. LORBERBAUM 2016-12-16