Form 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP |
OMB APPROVAL |
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OMB Number: 3235-0287 |
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Expires: December 31, 2001 |
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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, |
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(Last) (First) (Middle)
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3. I.R.S. Identification Number of Reporting Person, if an entity voluntary) |
4. Statement for Month/Year January, 2001 |
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(Street)
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5. If Amendment, Date of Original (Month/Year) |
7. Individual or Joint/Group Filing |
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(City) (State) (Zip) |
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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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 |
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Code |
V |
Amount |
(A) or (D) |
Price |
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Class A Common Stock |
12/06/00 |
I |
V |
7,528.232 |
D |
$9.437 |
754.981* |
I |
401(k) |
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Class B Common Stock (Restricted) |
1/16/01 |
A |
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35,548 |
A |
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98,665 |
D |
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Class B Common Stock |
1/30/01 |
M** |
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4,000 |
A |
5.1565 |
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D |
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Class B Common Stock |
1/30/01 |
F*** |
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1,975 |
D*** |
10.44 |
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D |
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Class B Common Stock |
1/30/01 |
M** |
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9,000 |
A |
4.8125 |
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D |
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Class B Common Stock |
1/30/01 |
F*** |
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4,148 |
D*** |
10.44 |
21,967 |
D |
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* Column 5 total is the total of 401(k) Class A shares as of December 31, 2000. ** Exercise of a derivative security exempted pursuant to Rule 16b-6(b). *** Reporting person delivered already-owned shares in payment of a portion of the option exercise price; no sale of securities occurred. |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
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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 |
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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 |
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Code |
V |
(A) |
(D) |
Date |
Expiration |
Title |
Amount |
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Employee Stock Option |
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**** |
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Class A |
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Employee Stock Option |
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4,000 |
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Class A |
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Employee Stock Option |
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9,000 |
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Class A |
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Explanation of Responses: |
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
/s/ Raymond S. Willoch Raymond S. Willoch **Signature of Reporting Person |
02/02/01 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 |