0000925177-18-000001.txt : 20180522
0000925177-18-000001.hdr.sgml : 20180522
20180522135914
ACCESSION NUMBER: 0000925177-18-000001
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180507
FILED AS OF DATE: 20180522
DATE AS OF CHANGE: 20180522
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: 18852029
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: 706-624-2032
MAIL ADDRESS:
STREET 1: P O BOX 12069
CITY: CALHOUN
STATE: GA
ZIP: 30703
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2018-05-07
0
0000851968
MOHAWK INDUSTRIES INC
MHK
0000925177
LORBERBAUM JEFFREY S
MOHAWK INDUSTRIES INC
P O BOX 12069
CALHOUN
GA
30703
1
1
1
0
Chairman and CEO
Common Stock
8293785
I
Aladdin Partners
Common Stock
420668
I
Dalton Fund
Common Stock
439140
I
Dalton Partners
Common Stock
45187
D
Common Stock
315002
I
PAS Trust
Common Stock
194
I
Managed Account
Common Stock
2018-05-07
5
G
0
E
420668
A
420668
I
See FN 1
Common Stock
2018-05-07
4
J
0
420668
D
420668
I
See FN 1
Common Stock
2018-05-07
4
J
0
420668
A
420668
I
See FN 1
Common Stock
2018-05-07
4
G
0
420668
D
420668
I
See FN 1
Reflects an exchange of the reporting person's 99.8% LP interest in Dalton Fund LP to the Lorberbaum Trust (the "Legacy Trust") for a promissory note from the Legacy Trust and a gift of the reporting person's 0.1% interest in Dalton Fund LP to the Legacy Trust, in each case for estate planning purposes. Beth entities are controlled by the reporting person. Following this transaction, Dalton Fund LP continued to hold 420,668 issuer shares, which are indirectly beneficially owned by the reporting person due to his investment control over such shares. The reporting person disclaims beneficial ownership of the shares held by Dalton Fund LP except to the extent of his individual pecuniary interest in such shares.
/s/Christi Scarbro, Attorney-in-Fact for Jeffrey S. Lorberbaum
2018-05-22