SEC Form 4 · accession 0001615594-18-000051
WSI INDUSTRIES, INC. · WSCI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Burton F. Myers II
Director
Period of report
Nov 7, 2018
Accepted (ET)
Nov 7, 2018 · 5:08 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 | — | — | — | 0 | 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,F1 | $6.13 | Nov 7, 2018 | D | 2,000 | D | — | Dec 18, 2018 | Common Stock | 2,000 | 0 | D |
| Stock Option (Right-to-Buy)F2,F1 | $6.16 | Nov 7, 2018 | D | 2,000 | D | — | Dec 18, 2019 | Common Stock | 2,000 | 0 | D |
| Stock Option (Right-to-Buy)F2,F1 | $4.37 | Nov 7, 2018 | D | 2,000 | D | — | Dec 21, 2020 | Common Stock | 2,000 | 0 | D |
| Stock Option (Right-to-Buy)F2,F1 | $3.00 | Nov 7, 2018 | D | 2,000 | D | — | Dec 22, 2021 | Common Stock | 2,000 | 0 | D |
| Stock Option (Right-to-Buy)F2,F1 | $4.48 | Nov 7, 2018 | D | 2,000 | D | — | Dec 20, 2022 | Common Stock | 2,000 | 0 | D |
Explanation of responses
- F1Fully vested.
- F2Pursuant to previously announced Agreement and Plan of Merger, dated September 5, 2018, by and among Polaris Industries Inc., Iceman Merger Sub, Inc. and WSI Industries, Inc., each outstanding option was cancelled in exchange for a cash payment in an amount equal to the excess, if any, of $7.00 over the share exercise price of such option multiplied by the number of shares of common stock subject to such option.