0001209191-12-001282.txt : 20120104
0001209191-12-001282.hdr.sgml : 20120104
20120104164311
ACCESSION NUMBER: 0001209191-12-001282
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120103
FILED AS OF DATE: 20120104
DATE AS OF CHANGE: 20120104
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: WHITCOMBE JOHN D
CENTRAL INDEX KEY: 0001187959
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-23800
FILM NUMBER: 12506741
MAIL ADDRESS:
STREET 1: 21515 HAWTHORNE BLVD STE 450
CITY: TORRANCE
STATE: CA
ZIP: 90503
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: 17634 NE AIRPORT WAY
CITY: PORTLAND
STATE: OR
ZIP: 97230
BUSINESS PHONE: 5037661010
MAIL ADDRESS:
STREET 1: 17634 NE AIRPORT WAY
CITY: PORTLAND
STATE: OR
ZIP: 97230
4
1
doc4.xml
FORM 4 SUBMISSION
X0304
4
2012-01-03
0
0000919443
LACROSSE FOOTWEAR INC
BOOT
0001187959
WHITCOMBE JOHN D
LACROSSE FOOTWEAR, INC.
17634 NE AIRPORT WAY
PORTLAND
OR
97230
1
0
0
0
Director Stock Option (right-to-buy)
12.80
2012-01-03
4
A
0
5000
0.00
A
2013-01-03
2019-01-03
Common Stock
5000
5000
D
Option becomes exercisable as to 25% of the shares on January 3, 2013, and as to an additional 25% of the shares on January 3, 2014, January 3, 2015 and January 3, 2016, respectively.
/s/ Derek Chase, Attorney-in-fact for John D. Whitcombe
2012-01-04