0001140361-16-087382.txt : 20161121 0001140361-16-087382.hdr.sgml : 20161121 20161121155655 ACCESSION NUMBER: 0001140361-16-087382 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161121 FILED AS OF DATE: 20161121 DATE AS OF CHANGE: 20161121 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: INTERFACE INC CENTRAL INDEX KEY: 0000715787 STANDARD INDUSTRIAL CLASSIFICATION: CARPETS AND RUGS [2273] IRS NUMBER: 581451243 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2859 PACES FERRY RD STREET 2: STE 2000 CITY: ATLANTA STATE: GA ZIP: 30339 BUSINESS PHONE: 7704376800 MAIL ADDRESS: STREET 1: 2859 PACES FERRY RD STREET 2: STE 2000 CITY: ATLANTA STATE: 2Q ZIP: 30339 FORMER COMPANY: FORMER CONFORMED NAME: INTERFACE FLOORING SYSTEMS INC DATE OF NAME CHANGE: 19870817 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WILLOCH RAYMOND S CENTRAL INDEX KEY: 0001095548 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33994 FILM NUMBER: 162010336 MAIL ADDRESS: STREET 1: 2859 PACES FERRY ROAD STREET 2: SUITE 2000 CITY: ATLANTA STATE: GA ZIP: 30339 4 1 doc1.xml FORM 4 X0306 4 2016-11-21 0 0000715787 INTERFACE INC TILE 0001095548 WILLOCH RAYMOND S 2859 PACES FERRY ROAD OVERLOOK III, SUITE 2000 ATLANTA GA 30339 0 1 0 0 Sr. Vice President Common Stock 2016-11-21 4 S 0 725 18.20 D 0 I By son Common Stock 41663 D The reporting person disclaims beneficial ownership of the shares formerly held by his son. A substantial number of such shares are restricted shares subject to a risk of forfeiture under certain circumstances. /s/ Raymond S. Willoch 2016-11-21