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SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 5)*
INTERFACE, INC.
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(Name of Issuer)
CLASS A COMMON STOCK ($0.10 PAR VALUE)
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(Title of Class of Securities)
458655106
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(CUSIP Number)
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*The remainder of this cover page shall be filled out for a reporting person's
initial filing on this form with respect to the subject class of securities,
and for any subsequent amendment containing information which would alter the
disclosures provided in a prior cover page.
The information required in the remainder of this cover page shall not be
deemed to be "filed" for the purpose of Section 18 of the Securities Exchange
Act of 1934 ("Act") or otherwise subject to the liabilities of that section of
the Act but shall be subject to all other provisions of the Act (however, see
the Notes).
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CUSIP No. 458655106
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1. NAME OF REPORTING PERSON
S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Ray C. Anderson
2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
N/A
3. SEC USE ONLY
4. CITIZENSHIP OR PLACE OF ORGANIZATION
United States of America
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
5. SOLE VOTING POWER
2,209,050
6. SHARED VOTING POWER
None
7. SOLE DISPOSITIVE POWER
1,608,713
8. SHARED DISPOSITIVE POWER
None
9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
2,221,050
10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
N/A
11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
9.03%
12. TYPE OF REPORTING PERSON*
IN
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*SEE INSTRUCTIONS BEFORE FILLING OUT!
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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE 13-G
Information Statement Pursuant to Rules 13d-1 and 13d-2
(Amendment No. 5)
Item 1 (a) NAME OF ISSUER:
Interface, Inc.
Item 1 (b) ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES:
2859 Paces Ferry Road, Suite 2000
Atlanta, Georgia 30339
Item 2 (a) NAME OF PERSON FILING:
Ray C. Anderson
Item 2 (b) ADDRESS OF PRINCIPAL BUSINESS OFFICE:
2859 Paces Ferry Road, Suite 2000
Atlanta, Georgia 30339
Item 2 (c) CITIZENSHIP:
United States of America
Item 2 (d) TITLE OF CLASS OF SECURITIES:
Class A Common Stock ($0.10 Par Value)
Item 2 (e) CUSIP NUMBER:
458655106
Item 3 STATEMENTS FILED PURSUANT TO RULES 13d-1(b) OR 13d-2(b):
Not Applicable
Item 4 (a) AMOUNT BENEFICIALLY OWNED:
I am the beneficial owner, as of December 31, 1996, of
2,221,050 shares of Class A Common Stock for the purpose of
Section 13(g) of the Securities Exchange Act of 1934 by virtue
of Rule 13d-3. This ownership consists of (i) 1,600,713
shares of Class B Common Stock, which are convertible on a
one-for- one basis into shares of Class A Common Stock, owned
directly by me, (ii) 608,337 additional shares of Class B
Common Stock which I have the power to direct the voting of
pursuant to a Voting Agreement, (iii) 4,000 shares of Class A
Common Stock held of record by my wife (as to which I disclaim
beneficial ownership) and (iv) 8,000 shares of Class A or B
Common Stock issuable upon the exercise of stock options which
are currently exercisable or exercisable within 60 days.
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Item 4 (b) PERCENT OF CLASS:
If all of the Class B Common Stock and options that I
beneficially own were converted into Class A Common Stock, I
would beneficially own 9.03% of the outstanding Class A Common
Stock, computed in accordance with Rule 13d-3.
Item 4 (c) NUMBER OF SHARES AS TO WHICH REPORTING PERSON HAS:
(i) Sole power to vote or to direct vote: 2,209,050
(ii) Shared power to vote or to direct the vote: None
(iii) Sole power to dispose or to direct the disposition
of: 1,608,713
(iv) Shared power to dispose or to direct the disposition
of: None
Item 5 OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS:
Not Applicable
Item 6 OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER
PERSON:
Not Applicable
Item 7 IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH
ACQUIRES THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING
COMPANY:
Not Applicable
Item 8 IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP:
Not Applicable
Item 9 NOTICE OF DISSOLUTION OF GROUP:
Not Applicable
Item 10 CERTIFICATION:
Not Applicable
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SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I
certify that the information set forth in this statement is true, complete and
correct.
/s/ Ray C. Anderson
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Ray C. Anderson
Dated: February 10, 1997
