SEC Form 4 · accession 0001615594-16-000275
WSI INDUSTRIES, INC. · WSCI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Paul D Sheely
Officer — Chief Financial Officer
Period of report
Dec 28, 2016
Accepted (ET)
Dec 29, 2016 · 2:24 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000104897
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | holding | — | — | — | 16,701 | D |
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)F1 | $2.98 | Dec 28, 2016 | A | 15,000 | A | Jun 28, 2017 | Dec 28, 2026 | Common Stock | 15,000 | 15,000 | D |
Explanation of responses
- F1Option vests in three installments of 1/3 of the shares each beginning six months after grant date, and on the 18 and 30 month anniversaries of the grant.