-----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, RMiAqvwPK42RwOrrSw1af3PSj7IJUXAaURiRydmPC/uDQgOgT6q4jhef9kDGZVrJ dRY+6Up4HWKOIBB2DczNkQ== 0000851968-02-000013.txt : 20021002 0000851968-02-000013.hdr.sgml : 20021002 20021002171105 ACCESSION NUMBER: 0000851968-02-000013 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20021002 FILED AS OF DATE: 20021002 SUBJECT COMPANY: 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 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13697 FILM NUMBER: 02780071 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: COMPANY DATA: COMPANY CONFORMED NAME: POKELWALDT ROBERT N CENTRAL INDEX KEY: 0001164639 RELATIONSHIP: DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: C/O FIRSTENERGY CORP STREET 2: 76 SOUTH MAIN ST CITY: AKRON STATE: OH ZIP: 44308 BUSINESS PHONE: 3307614264 MAIL ADDRESS: STREET 1: C/O FIRSTENERGY CORP STREET 2: 76 SOUTH MAIN ST CITY: AKRON STATE: OH ZIP: 44308 4 1 form4-oct.txt POKELWALDT FORM 4 OCTOBER UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 4 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP [ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. 1. Name and Address of Reporting Person(s) POKELWALDT, ROBERT N. 45 BURNING TREE COURT YORK, PA 17404 2. Issuer Name and Ticker or Trading Symbol MOHAWK INDUSTRIES, INC. (MHK) 3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary) 4. Statement for Month/Day/Year 10/2/2002 5. If Amendment, Date of Original (Month/Day/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) [X] Director [ ] 10% Owner [ ] Officer (give title below) [ ] Other (specify below) 7. Individual or Joint/Group Filing (Check Applicable Line) [X] Form filed by One Reporting Person [ ] Form filed by More than One Reporting Person
Table I Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned - ------------------------------------------------------------------------------------------------------------------------------------ 1)Title of Security 2)Trans- 3.Trans- 4.Securities Acquired(A) 5)Amount of 6) 7)Nature of action action or Disposed of (D) Securities Indirect Date Code A Beneficially D Beneficial (Month/ or Owned at or Ownership Day/Year) Code V Amount D Price End of Month I - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 10/01/02 A 100 A $49.9300 13,995 D Direct Table II (PART 1) Derivative Securities Acquired, Disposed of, or Beneficially Owned (Columns 1 through 6) - ------------------------------------------------------------------------------------------------------------------------------------ 1)Title of Derivative 2)Conversion 3)Trans- 4)Trans- 5)Number of Derivative 6)Date Exercisable and Security or Exercise action action Securities Acquired (A) Expiration Date Price of Date Code or Disposed of (D) Derivative Security Code V A D Exercisable Expiration - ------------------------------------------------------------------------------------------------------------------------------------ Non-Qualified Stock Option $9.9373 01/01/06 (right to buy) Non-Qualified Stock Option $12.1667 01/01/05 (right to buy) Non-Qualified Stock Option $13.4167 01/01/07 (right to buy) Non-Qualified Stock Option $17.2344 01/01/08 (right to buy) Non-Qualified Stock Option $18.1805 01/01/04 (right to buy) Non-Qualified Stock Option $23.3281 01/01/11 (right to buy) Non-Qualified Stock Option $26.2500 01/01/10 (right to buy) Non-Qualified Stock Option $33.0781 01/01/09 (right to buy) Non-Qualified Stock Option $38.7275 01/01/12 (right to buy) Table II (PART 2) Derivative Securities Acquired, Disposed of, or Beneficially Owned (Columns 1,3 and 7 through 11) - ------------------------------------------------------------------------------------------------------------------------------------ 1)Title of Derivative 3)Trans- 7)Title and Amount 8)Price 9)Number of 10) 11)Nature of Security action of Underlying of Deri- Derivative Indirect Date Securities vative Securities D Beneficial Amount or Security Beneficially or Ownership Number of Owned at I - Title Shares End of Month - ------------------------------------------------------------------------------------------------------------------------------------ Non-Qualified Stock Option Common Stock 2,250 2,250 D Direct (right to buy) Non-Qualified Stock Option Common Stock 2,250 2,250 D Direct (right to buy) Non-Qualified Stock Option Common Stock 2,250 2,250 D Direct (right to buy) Non-Qualified Stock Option Common Stock 2,250 2,250 D Direct (right to buy) Non-Qualified Stock Option Common Stock 2,250 2,250 D Direct (right to buy) Non-Qualified Stock Option Common Stock 2,250 2,250 D Direct (right to buy) Non-Qualified Stock Option Common Stock 2,250 2,250 D Direct (right to buy) Non-Qualified Stock Option Common Stock 2,250 2,250 D Direct (right to buy) Non-Qualified Stock Option Common Stock 2,250 2,250 D Direct (right to buy) Explanation of Responses:
SIGNATURE OF REPORTING PERSON /S/ POKELWALDT, ROBERT N. DATE 10/02/02 -----END PRIVACY-ENHANCED MESSAGE-----