SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
GOPLERUD PENNE A

(Last) (First) (Middle)
10758 W. CENTENNIAL ROAD
SUITE 200

(Street)
LITTLETON CO 80127

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
01/01/2014
3. Issuer Name and Ticker or Trading Symbol
UR-ENERGY INC [ URG ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
See Remarks
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Shares 30,756 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted Share Units (1) (1) Common Shares 38,997 (1) D
Common Share Options (Right to Buy) (2) 09/02/2014 Common Shares 30,710 $0.9(6) D
Common Share Options (Right to Buy) (2) 03/05/2015 Common Shares 21,845 $0.81(6) D
Common Share Options (Right to Buy) (2) 01/28/2016 Common Shares 36,934 $2.87(6) D
Common Share Options (Right to Buy) (2) 07/07/2016 Common Shares 100,000 $1.57(6) D
Common Share Options (Right to Buy) (2) 09/09/2016 Common Shares 49,838 $1.17(6) D
Common Share Options (Right to Buy) (2) 01/12/2017 Common Shares 68,667 $0.91(6) D
Common Share Options (Right to Buy) (3) 12/07/2017 Common Shares 103,516 $0.76(6) D
Common Share Options (Right to Buy) (4) 04/25/2018 Common Shares 45,315 $0.77(6) D
Common Share Options (Right to Buy) (5) 12/27/2018 Common Shares 69,896 $1.2(6) D
Explanation of Responses:
1. Each Restricted Share Unit ("RSU") entitles the holder to receive delivery of one common share upon satisfaction of the RSU vesting period. RSUs held by the reporting person will vest as follows: 8,583 on January 11, 2014, 12,940 on December 7, 2014, 8,737 on December 27, 2014 and 8,737 on December 27, 2015. At the Issuer's election, outstanding RSUs may be redeemed for cash.
2. Fully vested and currently exercisable.
3. Includes options to purchase 55,899 common shares that are vested and currently exercisable. Remaining options will vest as follows: 22,773 on January 22, 2014 and 24,844 on June 7, 2014.
4. Includes options to purchase 14,501 common shares that are vested and currently exercisable. Remaining options will vest as follows: 9,969 on January 24, 2014, 9,969 on June 10, 2014 and 10,876 on October 24, 2014.
5. Includes options to purchase 6,990 common shares that are vested and currently exercisable. Remaining options will vest as follows: 15,377 on May 13, 2014, 15,377 on September 27, 2014, 15,377 on February 11, 2015 and 16,775 on June 27, 2015.
6. Prices are expressed in Canadian dollars.
Remarks:
Exhibit List: Exhibit 24.1- Power of Attorney Title: General Counsel and Corporate Secretary
/s/ Penne A. Goplerud 01/10/2014
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.