SEC Form 4 · accession 0001116188-15-000001
FX ENERGY INC · FXEN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Dennis B Goldstein
Director
Period of report
Dec 8, 2015
Accepted (ET)
Dec 10, 2015 · 4:19 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000907649
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Dec 8, 2015 | U | 107,019 | $1.15 | D | 9,972 | D | |
| Common StockF1 | Dec 10, 2015 | U | 9,972 | $1.15 | D | 0 | D | |
| Common StockF1 | Dec 8, 2015 | U | 15,000 | $1.15 | D | 0 | I | IRA |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Stock of Issuer tendered pursuant to an offer ("the Offer") by Kiwi Acquisition Corp., a wholly-owned subsidiary of ORLEN Upstream Sp. z o.o., to exchange each share of the Issuer's common stock for cash in the amount of $1.15, without interest.
- F2Includes 9,972 restricted shares that vested upon consummation of the Offer.