Form 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP |
OMB APPROVAL |
|
OMB Number: 3235-0287 |
|||
Expires: December 31, 2001 |
|||
[ ] |
Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See instructions 1(b). |
Estimated average burden |
1. Name and Address of Reporting Person* |
2. Issuer Name and Ticker or Trading Symbol Interface, Inc. (IFSIA) |
6. Relationship of Reporting Person(s) to Issuer title below) below) Senior Vice President |
||||||||||
(Last) (First) (Middle)
|
3. I.R.S. Identification Number of Reporting Person, if an entity voluntary) |
4. Statement for Month/Year January, 2001 |
||||||||||
(Street)
|
5. If Amendment, Date of Original (Month/Year) |
7. Individual or Joint/Group Filing |
||||||||||
(City) (State) (Zip) |
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
|||||||||||
1. Title of Security |
2. Transaction Date |
3. Transaction |
4. Securities Acquired (A) or Disposed of (D) |
5. Amount of Securities Beneficially Owned at End of Month |
6. Owner- |
7. Nature of Indirect Beneficial Ownership |
||||||
Code |
V |
Amount |
(A) or (D) |
Price |
||||||||
Class B Common Stock (Restricted) |
01/16/01 |
A |
|
18,079 |
A |
|
74,512 |
D |
|
|||
|
|
|
|
|
|
|
|
|
|
|||
|
|
|
|
|
|
|
|
|
|
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
||
|
Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. |
(Over) |
FORM 4 (continued) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned |
|
1.Title of Derivative Security |
2. Conversion or |
3. Transaction |
4. Transaction Code |
5. Number of Derivative |
6. Date Exercisable |
7. Title and Amount of |
8. Price of |
9.Number of |
10. Ownership |
11. Nature of |
||||
Code |
V |
(A) |
(D) |
Date |
Expiration |
Title |
Amount |
|||||||
Employee Stock Option |
8.453 |
1/16/01 |
A |
V |
12,053 |
|
* 1/16/02 |
1/16/11 |
Class A |
12,053 |
0 |
12,053 |
D |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Explanation of Responses: |
** |
Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
/s/ Michael D. Bertolucci Michael D. Bertolucci **Signature of Reporting Person |
2/05/01 Date |
Note: |
File three copies of this Form, one of which must be manually signed. |
Potential persons who are to respond to the collection of information contained in this form are not |
Page 2 |