-----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, PAFVKRMVkuYBkTGzyFW7sjt/2+nkhh9qxoKr1iQa1WOsAGDxcC500eLT7QyevjIY OK0xv6VnzKTxwDi+MSPTow== 0001209191-11-001907.txt : 20110105 0001209191-11-001907.hdr.sgml : 20110105 20110105170715 ACCESSION NUMBER: 0001209191-11-001907 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110103 FILED AS OF DATE: 20110105 DATE AS OF CHANGE: 20110105 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: 11511603 MAIL ADDRESS: STREET 1: C/O LACROSSE FOOTWEAR INC STREET 2: 18550 NE RIVERSIDE PARKWAY CITY: PORTLAND STATE: OR ZIP: 972304975 4 1 doc4.xml FORM 4 SUBMISSION X0303 4 2011-01-03 0 0000919443 LACROSSE FOOTWEAR INC BOOT 0001187950 CARLSON DAVID P LACROSSE FOOTWEAR, INC. 17634 NE AIRPORT WAY PORTLAND OR 97230 0 1 0 0 Exec. VP and CFO Employee Stock Option (right-to-buy) 16.73 2011-01-03 4 A 0 17000 0.00 A 2012-01-03 2018-01-03 Common Stock 17000 17000 D Option becomes exercisable as to 25% of the total shares on January 3, 2012, and as to an additional 25% on January 3, 2013, January 3, 2014 and January 3, 2015, respectively. /s/ James D. Fontaine, Attorney-in-fact for David P. Carlson 2011-01-05 -----END PRIVACY-ENHANCED MESSAGE-----