SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Klein Robert R.

(Last) (First) (Middle)
7 BRENTWOOD COURT

(Street)
WARREN NJ 07059

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Western Uranium & Vanadium Corp. [ WSTRF ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Financial Officer
3. Date of Earliest Transaction (Month/Day/Year)
10/31/2022
4. 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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Shares 38,358 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Options $1.6(1) 10/31/2022 A 300,000 (2) (3) Common Shares 300,000 $0 300,000 D
Stock Options $1.76(1) (4) (5) Common Shares 200,000 200,000 D
Stock Options $1.03(1) (6) (7) Common Shares 125,000 125,000 D
Stock Options $2.15(1) (8) (9) Common Shares 250,000 250,000 D
Stock Options $1.6(1) 03/31/2018 03/31/2023 Common Shares 66,668 66,668 D
Explanation of Responses:
1. Price stated in Canadian dollars (CAD).
2. Vested: 1/2 on October 31, 2022 and 1/2 on April 30, 2023.
3. Expiration Date: 1/2 on October 31, 2027 and 1/2 on April 30, 2028.
4. Vested: 1/3 on February 9, 2022, 1/3 on April 1, 2022, and 1/3 on July 1, 2022.
5. Expiration Date: 1/3 on February 9, 2027, 1/3 on April 1, 2027, and 1/3 on July 1, 2027.
6. Vested: 1/3 on January 6, 2020, 1/3 on January 31, 2020, and 1/3 on June 30, 2020.
7. Expiration Date: 1/3 on January 6, 2025, 1/3 on January 31, 2025, and 1/3 on June 30, 2025.
8. Vested: 1/3 on September 24, 2018, 1/3 on October 31, 2018, and 1/3 on March 31, 2019.
9. Expiration Date: 1/3 on September 24, 2023, 1/3 on October 31, 2023, and 1/3 on March 31, 2024.
/s/ Robert R. Klein 11/02/2022
** 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 4 (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.