-----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, SXKx72Se0+zNqdY7TlMiIy8xDeECUBOiF8ApQs8+JbQGzIAEG6VrBQ2duEaXjcuo 2dklHQgTKEcrWtxW/ORZTQ== 0000897069-05-000001.txt : 20050103 0000897069-05-000001.hdr.sgml : 20041231 20050103125441 ACCESSION NUMBER: 0000897069-05-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050103 FILED AS OF DATE: 20050103 DATE AS OF CHANGE: 20050103 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: LACROSSE FOOTWEAR INC CENTRAL INDEX KEY: 0000919443 STANDARD INDUSTRIAL CLASSIFICATION: RUBBER & PLASTICS FOOTWEAR [3021] IRS NUMBER: 391446816 STATE OF INCORPORATION: WI FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 18550 NE RIVERSIDE PARKWAY CITY: PORTLAND STATE: OR ZIP: 97230 BUSINESS PHONE: 5037661010 MAIL ADDRESS: STREET 1: 18550 NE RIVERSIDE PARKWAY CITY: PORTLAND STATE: OR ZIP: 97230 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CARLSON DAVID P CENTRAL INDEX KEY: 0001187950 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23800 FILM NUMBER: 05501339 BUSINESS ADDRESS: STREET 1: 18550 NE RIVERSIDE PARKWAY CITY: PORTLAND STATE: OR ZIP: 972304975 BUSINESS PHONE: 5037661010 MAIL ADDRESS: STREET 1: C/O LACROSSE FOOTWEAR INC STREET 2: 18550 NE RIVERSIDE PARKWAY CITY: PORTLAND STATE: OR ZIP: 972304975 4 1 car65.xml X0202 4 2005-01-03 0 0000919443 LACROSSE FOOTWEAR INC BOOT 0001187950 CARLSON DAVID P C/O LACROSSE FOOTWEAR, INC. 18550 NE RIVERSIDE PARKWAY PORTLAND OR 97230 0 1 0 0 Executive VP and CFO Common Stock 3000 D Employee Stock Option (Right to Buy) 10.830 2005-01-03 4 A 0 20000 0 A 2015-01-03 Common Stock 20000 20000 D Employee Stock Option (Right to Buy) 8.625 2009-01-02 Common Stock 6750 6750 D Employee Stock Option (Right to Buy) 4.440 2010-01-03 Common Stock 1250 1250 D Employee Stock Option (Right to Buy) 3.130 2011-01-02 Common Stock 7813 7813 D Employee Stock Option (Right to Buy) 3.400 2012-01-02 Common Stock 15000 15000 D Employee Stock Option (Right to Buy) 2.580 2013-01-02 Common Stock 20000 20000 D Employee Stock Option (Right to Buy) 7.700 2014-01-02 Common Stock 30000 30000 D This option becomes exercisable in 20% increments on January 3, 2006, 2007, 2008, 2009 and 2010, respectively. This option becomes exercisable in 20% increments on January 2, 2000, 2001, 2002, 2003 and 2004, respectively. This option becomes exercisable in 20% increments on January 3, 2001, 2002, 2003, 2004 and 2005, respectively. This option becomes exercisable in 20% increments on January 2, 2002, 2003, 2004, 2005 and 2006, respectively. This option becomes exercisable in 20% increments on January 2, 2003, 2004, 2005, 2006 and 2007, respectively. This option becomes exercisable in 20% increments on January 2, 2004, 2005, 2006, 2007 and 2008, respectively. This option becomes exercisable in 20% increments on January 2, 2005, 2006, 2007, 2008 and 2009, respectively. By: Luke E. Sims, Attorney-In-Fact 2005-01-03 -----END PRIVACY-ENHANCED MESSAGE-----