-----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, Hk8yEVwsYGg6Jpc2vKM72Hi+MGifzAYMS7u/WPrE3QjxG3jlCVNshaJojz4kg4oI 1dWypTi8Sh8ODzmZG0RwIw== 0000851968-09-000023.txt : 20090914 0000851968-09-000023.hdr.sgml : 20090914 20090914161154 ACCESSION NUMBER: 0000851968-09-000023 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090910 FILED AS OF DATE: 20090914 DATE AS OF CHANGE: 20090914 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: 091067656 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: 678-355-5814 MAIL ADDRESS: STREET 1: P O BOX 12069 CITY: CALHOUN STATE: GA ZIP: 30703 4 1 edgardoc.xml PRIMARY DOCUMENT X0303 4 2009-09-10 0 0000851968 MOHAWK INDUSTRIES INC MHK 0000903198 KOLB DAVID L 160 SOUTH INDUSTRIAL BLVD. P.O. BOX 12069 CALHOUN GA 30703 1 0 0 0 Call Option (obligation to sell) 60 2009-09-10 4 S 1 100000 3.76 A 2010-06-11 2010-06-11 Common Stock 100000 100000 D Put Option (right to sell) 40 2009-09-10 4 P 1 100000 4.3 A 2010-06-11 2010-06-11 Common Stock 100000 100000 D The reporting person entered into 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. The reporting person has remitted to the issuer a $27,000 profit resulting from the match of (i) the deemed sale of 100,000 shares resulting from the establishment of these put and call options (at a market price per share as of September 10, 2009 of $49.54), with (ii) the deemed repurchase of 100,000 shares resulting from the cash settlement of a prior zero-cost collar arrangement (at a market price per share as of August 27, 2009 of $49.27) as reported on his Form 4 filed August 28, 2009. DAVID L. KOLB 2009-09-14 -----END PRIVACY-ENHANCED MESSAGE-----