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