-----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, U67ur/TC2r9/elchQIaQiDbZtYucMqlGWX8+ce9DJHKXIQbDrFJdfAR815SAmj88 wuWPJwaeyN9TyJSGx+KPPw== 0001181431-04-042985.txt : 20040903 0001181431-04-042985.hdr.sgml : 20040903 20040903170530 ACCESSION NUMBER: 0001181431-04-042985 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040901 FILED AS OF DATE: 20040903 DATE AS OF CHANGE: 20040903 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GOLSEN SYLVIA H CENTRAL INDEX KEY: 0001005713 STATE OF INCORPORATION: OK FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07677 FILM NUMBER: 041017385 BUSINESS ADDRESS: STREET 1: P O BOX 705 CITY: OKLAHOMA CITY STATE: OK ZIP: 73101 BUSINESS PHONE: 4052327711 ISSUER: 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 BUSINESS ADDRESS: STREET 1: 16 S PENNSYLVANIA CITY: OKLAHOMA CITY STATE: OK ZIP: 73101 BUSINESS PHONE: 4052354546 MAIL ADDRESS: STREET 1: 16 SOUTH PENNSYLVANIA CITY: OKLAHOMA STATE: OK ZIP: 73101 4 1 rrd52213.xml X0202 4 2004-09-01 0 0000060714 LSB INDUSTRIES INC LXU 0001005713 GOLSEN SYLVIA H 16 SOUTH PENNSYLVANIA AVENUE OKLAHOMA CITY OK 73107 0 0 1 0 Common Stock 553832 D Common Stock 284915 I By Trust Common Stock 1394299 I By SBL Corp. Common Stock 2004-09-01 4 S 0 100 8.10 D 182429 I By Spouse Common Stock 2004-09-01 4 S 0 300 8.00 D 182129 I By Spouse Common Stock 2004-09-01 4 S 0 100 7.95 D 182029 I By Spouse Common Stock 2004-09-01 4 S 0 34500 7.90 D 147529 I By Spouse The Sylvia H. Golsen 1992 Revocable Trust, of which Sylvia H. Golsen is Trustee. 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 88,100 shares owned of record by Golsen Petroleum Corporation, the wholly owned subsidiary of SBL. The amount shown consists of the following shares beneficially owned by Sylvia H. Golsen's spouse, Jack E. Golsen: (a) 78,500 shares owned of record by Mr. Golsen, and (b) 69,029 held by Mr. Golsen's revocable trust, of which Mr. Golsen is trustee. The amount shown does not include the following derivative securities beneficially owned by Jack E. Golsen: (a) 4,000 shares issuable upon the conversion of a promissory note, (b) 176,500 shares underlying stock options granted to Mr. Golsen, and (c) 133,333 shares issuable upon conversion of 4,000 shares of Series B Preferred Stock. The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of the securities for purposes of Section 16 or for any other purpose. Jack E. Golsen, Attorney-In-Fact 2004-09-03 -----END PRIVACY-ENHANCED MESSAGE-----