SEC Form 4 · accession 0001127602-15-001224
BIG SKY INDUSTRIAL INC. · BSIN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Keith G Larsen
Officer — CHAIRMAN & CEO · Director
Period of report
Jan 2, 2015
Accepted (ET)
Jan 6, 2015 · 5:17 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000101594
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Jan 2, 2015 | A | 100,000 | $0.00 | A | 576,031 | D | |
| Common StockF2 | holding | — | — | — | 122,651 | I | By Esop | |
| Common StockF3 | holding | — | — | — | 238,740 | I | By Immediate Family | |
| Common StockF4 | holding | — | — | — | 0 | I | Family Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F5 | $1.50 | Jan 2, 2015 | A | 100,000 | A | Jan 2, 2016 | Jan 1, 2025 | Common Stock | 100,000 | 100,000 | D |
| Stock Option (Right to Buy)F5 | $2.08 | holding | — | — | — | Jul 1, 2014 | Jun 30, 2023 | Common Stock | 65,000 | 65,000 | D |
| Stock Option (Right to Buy)F6 | $2.52 | holding | — | — | — | Sep 22, 2009 | Sep 21, 2018 | Common Stock | 75,000 | 75,000 | D |
| Stock Options (Right to Buy)F7 | $4.97 | holding | — | — | — | Jan 1, 2008 | Jul 26, 2017 | Common Stock | 150,000 | 150,000 | D |
| Stock Options (Right to Buy)F8 | $3.86 | holding | — | — | — | Oct 14, 2005 | Oct 13, 2015 | Common Stock | 100,000 | 100,000 | D |
Explanation of responses
- F1The restricted stock shares vest in 3 equal annual installments beginning one year from the grant date.
- F2Shares held in the U.S. Energy Corp. Employee Stock Ownership Plan (the 'ESOP') in an account established for the benefit of the Reporting Person.
- F3Includes shares held in ESOP accounts established to benefit members of the Reporting Persons 'Immediate Family', as that term is defined in Rule 16a-1(e), in accordance with Rule 16a-8(b)(2).
- F4Does not include 441,513 shares owned by a family trust of which Mr. Larsen is a beneficiary as Mr. Larsen does not exercise investment control over those shares.
- F5Stock options granted under the Issuer's 2012 Equity Plan which vest in three (3) equal annual installments beginning one year from the grant date.
- F6Stock options grated under the Issuer's 2001 Incentive Stock Option Plan which vest in three (3) equal annual installments beginning September 22, 2009.
- F7Stock options granted under the Issuer's 2001 Incentive Stock Option Plan with a 5 year vesting schedule and exempt under Rule 16b-3.
- F8Includes stock options granted under the Issuer's 2001 Incentive Stock Option Plan and exempt under Rule 16b-3.