SEC Form 4 · accession 0001615594-17-000040
WSI INDUSTRIES, INC. · WSCI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael J Pudil
Officer — President and CEO · Director
Period of report
May 19, 2017
Accepted (ET)
May 23, 2017 · 3:11 pm EDT
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 StockF1 | May 19, 2017 | A | 50,000 | $0.00 | A | 108,942 | D | |
| Common Stock | May 19, 2017 | F | 9,725 | $3.06 | D | 99,217 | 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)F2 | $3.06 | May 19, 2017 | A | 50,000 | A | May 19, 2017 | May 19, 2027 | Common Stock | 50,000 | 50,000 | D |
Explanation of responses
- F1The Restricted Stock vests as to 25,000 shares on May 19, 2017 and 25,000 shares on the six month anniversary of the date of grant.
- F2Option vests as to 25,000 shares on May 19, 2017 and 25,000 shares on the six month anniversary of the date of grant.