-----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, Lag7Fv0F9F95P9R9WawWZ+myyabsmEIB2xFV3PbZPlqWC1xMX5ZojYCq3fznVYgW 4s3aS/W5GbWzAesJPwIpgw== 0000903198-03-000002.txt : 20040303 0000903198-03-000002.hdr.sgml : 20040303 20031125145712 ACCESSION NUMBER: 0000903198-03-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031120 FILED AS OF DATE: 20031119 DATE AS OF CHANGE: 20040303 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: 7066297721 MAIL ADDRESS: STREET 1: P O BOX 12069 CITY: CALHOUN STATE: GA ZIP: 30703 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: 031022967 BUSINESS ADDRESS: STREET 1: MOHAWK INDUSTRIES INC STREET 2: P O BOX 12069 CITY: CALHOUN STATE: GA ZIP: 30703 BUSINESS PHONE: 4049516000 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 X0201 4 2003-11-20 0 0000851968 MOHAWK INDUSTRIES INC MHK 0000903198 KOLB DAVID L MOHAWK INDUSTRIES INC P O BOX 12069 CALHOUN GA 30703 1 0 0 1 Chairman Call Option (obligation to sell) 79.0424 2003-11-18 4 J 0 100000 0 A 2004-11-18 2004-11-18 Common Stock 100000 100000 D Put Option (right to sell) 54.2625 2003-11-18 4 P 0 100000 0 A 2004-11-18 2004-11-18 Common Stock 100000 100000 D The reporting person entered a "zero cost collar" arrangement pursuant to which he wrote a covered call option and purchased a put option. Only one of these options can be in the money on the expiration date at which time the in the money option will be exercised (and settled for cash) and the other option will expire. If neither option is in the money on the expiration date, both options will expire. On November 18, 2003, the reporting person terminated 100,000 shares of a 200,000 share existing collar agreement which was entered into on 11/21/2002. DAVID L. KOLB 2003-11-25 -----END PRIVACY-ENHANCED MESSAGE-----