0001209191-12-042276.txt : 20120816 0001209191-12-042276.hdr.sgml : 20120816 20120816172430 ACCESSION NUMBER: 0001209191-12-042276 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120816 FILED AS OF DATE: 20120816 DATE AS OF CHANGE: 20120816 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Inman Gregory Stephen CENTRAL INDEX KEY: 0001534187 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23800 FILM NUMBER: 121040767 MAIL ADDRESS: STREET 1: LACROSSE FOOTWEAR INC. STREET 2: 17634 NE AIRPORT WAY CITY: PORTLAND STATE: OR ZIP: 97230 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 X0306 4 2012-08-16 1 0000919443 LACROSSE FOOTWEAR INC BOOT 0001534187 Inman Gregory Stephen LACROSSE FOOTWEAR, INC. 17634 NE AIRPORT WAY PORTLAND OR 97230 0 1 0 0 VP of Administration Employee Stock Option (right to buy) 13.27 2012-08-16 4 D 0 500 6.73 D 2017-01-02 Common Stock 500 0 D Employee Stock Option (right to buy) 17.61 2012-08-16 4 D 0 2000 2.39 D 2018-01-02 Common Stock 2000 0 D Employee Stock Option (right to buy) 12.00 2012-08-16 4 D 0 750 8.00 D 2019-01-02 Common Stock 750 0 D Employee Stock Option (right to buy) 13.02 2012-08-16 4 D 0 1500 6.98 D 2020-01-04 Common Stock 1500 0 D Employee Stock Option (right to buy) 16.73 2012-08-16 4 D 0 2500 3.27 D 2021-01-03 Common Stock 2500 0 D Employee Stock Option (right to buy) 12.80 2012-08-16 4 D 0 3000 7.20 D 2022-01-02 Common Stock 3000 0 D The option, which provided for vesting in four equal annual installments beginning on January 2, 2007, was cancelled pursuant to a merger agreement between the issuer, ABC-MART, INC., a corporation formed under the laws of Japan, and XYZ Merger Sub, Inc., a Wisconsin corporation, dated as of July 5, 2012 (the "merger agreement"), and converted into the right to receive cash in the amount of $3,365.00, without interest and subject to deduction for any withholding taxes, representing the difference between the exercise price of the option and the price paid per common share in the merger ($20.00). The option, which provided for vesting in four equal annual installments beginning on January 2, 2008, was cancelled pursuant to the merger agreement and converted into the right to receive cash in the amount of $4,780.00, without interest and subject to deduction for any withholding taxes, representing the difference between the exercise price of the option and the price paid per common share in the merger ($20.00). The option, which provided for vesting in four equal annual installments beginning on January 2, 2009, fully vested immediately prior to the closing of the merger and was cancelled pursuant to the merger agreement and converted into the right to receive cash in the amount of $6,000.00, without interest and subject to deduction for any withholding taxes, representing the difference between the exercise price of the option and the price paid per common share in the merger ($20.00). The option, which provided for vesting in four equal annual installments beginning on January 4, 2010, fully vested immediately prior to the closing of the merger and was cancelled pursuant to the merger agreement and converted into the right to receive cash in the amount of $10,470.00, without interest and subject to deduction for any withholding taxes, representing the difference between the exercise price of the option and the price paid per common share in the merger ($20.00). The option, which provided for vesting in four equal annual installments beginning on January 3, 2011, fully vested immediately prior to the closing of the merger and was cancelled pursuant to the merger agreement and converted into the right to receive cash in the amount of $8,175.00, without interest and subject to deduction for any withholding taxes, representing the difference between the exercise price of the option and the price paid per common share in the merger ($20.00). The option, which provided for vesting in four equal annual installments beginning on January 3, 2012, fully vested immediately prior to the closing of the merger and was cancelled pursuant to the merger agreement and converted into the right to receive cash in the amount of $21,600.00, without interest and subject to deduction for any withholding taxes, representing the difference between the exercise price of the option and the price paid per common share in the merger ($20.00). /s/ Gregory S. Inman 2012-08-16