-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, UPiuTFlR4gIbUsR6MY9JY4wbfEqeyJJTNvdlaOGyrQbtU33TI+u/EACORbo4nECN dQDOQSeN99QVg1TrHRP4uQ== 0000948600-99-000130.txt : 19990913 0000948600-99-000130.hdr.sgml : 19990913 ACCESSION NUMBER: 0000948600-99-000130 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19990831 FILED AS OF DATE: 19990910 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: LSB INDUSTRIES INC CENTRAL INDEX KEY: 0000060714 STANDARD INDUSTRIAL CLASSIFICATION: INDUSTRIAL INORGANIC CHEMICALS [2810] IRS NUMBER: 731015226 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 001-07677 FILM NUMBER: 99709826 BUSINESS ADDRESS: STREET 1: 16 S PENNSYLVANIA CITY: OKLAHOMA CITY STATE: OK ZIP: 73107 BUSINESS PHONE: 4052354546 MAIL ADDRESS: STREET 1: P.O. BOX 754 CITY: OKLAHOMA STATE: OK ZIP: 73101 COMPANY DATA: COMPANY CONFORMED NAME: GOLSEN SYLVIA H CENTRAL INDEX KEY: 0001005713 STANDARD INDUSTRIAL CLASSIFICATION: [] OWNER STATE OF INCORPORATION: OK FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: P O BOX 705 CITY: OKLAHOMA CITY STATE: OK ZIP: 73101 BUSINESS PHONE: 4052327711 4 1 8/99 FORM 4 - S. H. GOLSEN _______ _________________________ FORM 4 U.S. Securities and Exchange Commission OMB APPROVAL _______ Washington, D.C. 20549 _________________________ [ ] Check this box if no longer OMB Number 3235-0287 subject to Section 16. Form Expires: September 30, 1998 4 or Form 5 obligations may Estimated average burden continue. See Instruction 1(b). hours per response... 0.5 __________________________ STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 1. Name and Address of Reporting 2. Issuer Name and Ticker or Person Trading Symbol Sylvia H. Golsen LSB Industries, Inc. (LSBD) _______________________________________________________________________________ (Last) (First) (Middle) 3. IRS or Social Security No. of Reporting Person 16 South Pennsylvania (Voluntary) Post Office Box 705 ____________________________________ ###-##-#### (Street) Oklahoma City, Oklahoma 73101 _______________________________________________________________________________ (City) (State) (Zip) 4. Statement for Month/Year: August 1999 5. If Amendment, Date of Original (Month/Year): 6. Relationship of Reporting Person to Issuer (Check all applicable) Director X 10% Owner Officer (give title below) ___ ___ ___ ___ Other (specify below) ____________________________________ 7. 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 2. Transaction 3. Transaction 4. Securities Acquired Security Date Code (A) or Disposed of (Instr. 3) Month/ (Instr. 8) (D) (Instr. 3, 4, 5) Day/ ________________ ____________________ Year) Code V Amount (A) Price or (D) Common Stock Common Stock 8/31/99 P 123,500 A $0.986 5. Amount of 6. Ownership Form: 7. Nature of Securities Direct (D) or Indirect Beneficially Indirect (I) Beneficial Owned at End (Instr. 4) Ownership of Month (Instr. 4) (Instr. 3 & 4) 1,052,250(4) D 1,301,899(5) I By SBL(1) _______________________________________________________________________________ If the form is filed by more than one Reporting Person, see Instruction 4(b)(v). Reminder: Report on a separate line for each Page 1 of 2 class of securities beneficially SEC 1474 (7/96) owned directly or indirectly (Print or Type Response) FORM 4 (continued) Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) ______________________________________________________________________________ 1. Title of 2. Conversion 3. Transaction 4. Transaction 5. Number of Derivative or Exercise Date Code Derivative Security Price of (Month/Day/ (Instr. 8) Securities (Instr. 3) Derivative Year) Code V Acquired (A) Security or Disposed of (D) (Inst. (Instr. 3,4,5) (A) (D) Preferred "B" (2) Preferred "C" $11.55 6. Date Exercisable 7. Title and Amount of 8. Price of and Expiration Underlying Securities Derivative Date (Instr. 3 and 4) Security (Month/Day/Year) Amount (Instr. 5) Date Expir- or Exer- ation Number of cisable Date Title Shares (2) (2) Common Stock 533,333 (3) (3) Common Stock 39,177 9. Number of 10. Ownership Form 11. Nature of Indirect Derivative of Derivative Beneficial Owner- Securities Security: ship (Instr. 4) Beneficially Direct (D) or Owned at End Indirect (I) of Month (Instr. 4) (Instr. 4) 16,000(5) I By SBL(1) 9,050 I By SBL(1) __________________________ Explanation of Responses: (1) SBL Corporation ("SBL") is wholly owned by Sylvia H. Golsen (40% owner), Barry Golsen (son and 20% owner), Steven Golsen (son and 20% owner), and Linda Rappaport (daughter and 20% owner). The number of shares beneficially owned by SBL includes shares owned of record by Golsen Petroleum Corporation, the wholly owned subsidiary of SBL. (2) Each share of the Company's Series "B" 12% Cumulative Preferred Stock is convertible, at the option of the holder, into 33.3333 shares of the Company's Common Stock. Each share is convertible as long as such is outstanding. (3) Each share of the Company's $3.25 Convertible Exchangeable Class C Preferred Stock, Series 2 is convertible at the option of the holder into 4.329 shares of the Company's Common Stock. Each share is convertible as long as such is outstanding. (4) The amount shown does not include, and Sylvia H. Golsen disclaims beneficial ownership of (a) the 129,029 shares of Common Stock owned of record by Jack E. Golsen, (b) the 4,000 shares of Common Stock that Jack E. Golsen has the right to acquire upon the conversion of a promissory note, (c) the 365,000 shares of Common Stock underlying options granted to Jack E. Golsen under the Company's Incentive Stock Option Plans, (d) the 133,333 shares of Common Stock which Jack E. Golsen has the right to acquire upon conversion of the 4,000 shares of Series B Preferred Stock owned of record by him, and (e) the 10,000 shares owned of record by the MG Trust, of which Jack E. Golsen is the sole trustee. (5) The number of shares includes, as applicable, 60,600 shares of Common Stock or 4,000 shares of Preferred "B" owned of record by Golsen Petroleum Corporation, the wholly owned subsidiary of SBL. **Intentional misstatements or omissions of facts constitute Federal Criminal Violations. /s/ Sylvia H. Golsen Septempber 9, 1999 _______________________________ ________________ See 18 U.S.C. 1001 and **Signature of Reporting Person Date 15 U.S.C. 78ff(a). Sylvia H. Golsen Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, see Instruction 6 for procedure. 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