SEC Form 4 · accession 0001615594-18-000053
WSI INDUSTRIES, INC. · WSCI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Paul D Sheely
Officer — VP/CFO
Period of report
Nov 7, 2018
Accepted (ET)
Nov 7, 2018 · 5:37 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 StockF1 | Nov 7, 2018 | D | 17,167 | $7.00 | D | 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)F3,F2 | $3.46 | Nov 7, 2018 | D | 7,500 | D | — | Jan 8, 2019 | Common Stock | 7,500 | 0 | D |
| Stock Option (Right-to-Buy)F3,F2 | $2.13 | Nov 7, 2018 | D | 5,000 | D | — | Jan 6, 2020 | Common Stock | 5,000 | 0 | D |
| Stock Option (Right-to-Buy)F3,F2 | $4.93 | Nov 7, 2018 | D | 5,000 | D | — | Jan 10, 2021 | Common Stock | 5,000 | 0 | D |
| Stock Option (Right-to-Buy)F3,F2 | $5.07 | Nov 7, 2018 | D | 5,000 | D | — | Jan 9, 2022 | Common Stock | 5,000 | 0 | D |
| Stock Option (Right-to-Buy)F3,F2 | $6.38 | Nov 7, 2018 | D | 9,000 | D | — | Jan 8, 2023 | Common Stock | 9,000 | 0 | D |
| Stock Option (Right-to-Buy)F3,F2 | $6.12 | Nov 7, 2018 | D | 9,500 | D | — | Dec 23, 2023 | Common Stock | 9,500 | 0 | D |
| Stock Option (Right-to-Buy)F3,F2 | $5.95 | Nov 7, 2018 | D | 11,000 | D | — | Dec 23, 2024 | Common Stock | 11,000 | 0 | D |
| Stock Option (Right-to-Buy)F3,F2 | $4.44 | Nov 7, 2018 | D | 12,750 | D | — | Dec 24, 2025 | Common Stock | 12,750 | 0 | D |
| Stock Option (Right-to-Buy)F3,F2 | $2.98 | Nov 7, 2018 | D | 15,000 | D | — | Dec 28, 2026 | Common Stock | 15,000 | 0 | D |
| Stock Option (Right-to-Buy)F3,F2 | $4.69 | Nov 7, 2018 | D | 12,000 | D | — | Dec 26, 2027 | Common Stock | 12,000 | 0 | D |
Explanation of responses
- F1Disposed of as a result of the merger pursuant 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.
- F2Fully vested.
- F3Pursuant to the agreement and plan of merger referred to above, 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.