-----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, Nj4fWatlA4AuFG/TVtiS2Yi8Om3Mowoh08bHUrAuwOykrUefZDpz9ReYT8DWQwCp U9Vu2YV+2asc8WmtlBsNyQ== /in/edgar/work/20000725/0001028269-00-000077/0001028269-00-000077.txt : 20000921 0001028269-00-000077.hdr.sgml : 20000921 ACCESSION NUMBER: 0001028269-00-000077 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20000531 FILED AS OF DATE: 20000725 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: US ENERGY CORP CENTRAL INDEX KEY: 0000101594 STANDARD INDUSTRIAL CLASSIFICATION: [1000 ] IRS NUMBER: 830205516 STATE OF INCORPORATION: WY FISCAL YEAR END: 0531 FILING VALUES: FORM TYPE: 5 SEC ACT: SEC FILE NUMBER: 000-06814 FILM NUMBER: 678024 BUSINESS ADDRESS: STREET 1: 877 NORTH 8TH WEST STREET 2: GLEN L LARSEN BLDG CITY: RIVERTON STATE: WY ZIP: 82501 BUSINESS PHONE: 3078569271 MAIL ADDRESS: STREET 1: 877 NORTH 8TH WEST CITY: RIVERTON STATE: WY ZIP: 82501 FORMER COMPANY: FORMER CONFORMED NAME: WESTERN STATES MINING INC DATE OF NAME CHANGE: 19851229 COMPANY DATA: COMPANY CONFORMED NAME: LARSEN KEITH G CENTRAL INDEX KEY: 0001065872 STANDARD INDUSTRIAL CLASSIFICATION: [ ]DIRECTOR FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: 877 NORTH 8TH WEST CITY: RIVERTON STATE: WY ZIP: 82501 BUSINESS PHONE: 3078569271 5 1 0001.txt FORM 5 - MAY 31, 2000 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 5 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP ( ) Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instructions 1(b). ( ) Form 3 Holdings Reported (X) Form 4 Transactions Reported 1. Name and Address of Reporting Person LARSEN, KEITH G. 877 NORTH 8TH WEST RIVERTON, WY 82501 USA 2. Issuer Name and Ticker or Trading Symbol U.S. ENERGY CORP. USEG 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Statement for Month/Year MAY 31, 2000 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) (X) Director ( ) 10% Owner (X) Officer (give title below) ( ) Other (specify below) PRESIDENT 7. Individual or Joint/Group Reporting (Check Applicable Line) (X) Form filed by One Reporting Person ( ) Form filed by More than One Reporting Person
___________________________________________________________________________________________________________________________________ Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1. Title of Security |2. |3. |4.Securities Acquired (A) |5.Amount of |6.Dir |7.Nature of Indirect | |Transaction| or Disposed of (D) | Securities |ect | Beneficial Ownership | |Date |Code| | Beneficially |(D)or | | | | | | A/| | Owned at |Indir | | | | | Amount | D | Price | End of Year |ect(I)| | ___________________________________________________________________________________________________________________________________| $.01 PAR VALUE COMMON STO|N/A | |NONE | |N/A |1,774 |D | | CK | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| $.01 PAR VALUE COMMON STO|N/A | |NONE | |N/A |8,820 |D (a) | | CK | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| $.01 PAR VALUE COMMON STO|N/A | |NONE | |N/A |8,000 |I (b) |Custodial | CK | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| $.01 PAR VALUE COMMON STO|05/31/|A-4 |3,811 | |NIL |19,703 |I (c) |ESOP Benef. | CK |00 | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| $.01 PAR VALUE COMMON STO|05/28/|A-4 |23,970 | |NIL |100,665 |I (d) |Relatives' ESOP | CK |99 | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________ Table II -- Derivative Securitites Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1.Title of Derivative |2.Con |3. |4. |5.Number of De |6.Date Exer|7.Title and Amount |8.Price|9.Number |10.|11.Nature of| Security |version |Transaction rivative Secu |cisable and| of Underlying |of Deri|of Deriva |Dir|Indirect | |or Exer |Date |Code| rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial | |cise Pr | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership | |ice of | | | posed of(D) |Day/Year) | |rity |Benefi |or | | |Deriva | | | |Date |Expir| | |ficially |Ind| | |tive | | | | A/|Exer-|ation| Title and Number | |Owned at |ire| | |Secu | | | | D |cisa-|Date | of Shares | |End of |ct | | |rity | | | Amount | |ble | | | |Year |(I)| | ___________________________________________________________________________________________________________________________________| Stock Option - Qualified|$4.00/sh|N/A | | | |01/01|12/31|Common Stock|30,000 |N/A |30,000 |D | | (Right to Buy) | | | | | |/96 |/00 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Stock Option - Qualified|$2.875/s|N/A | | | |12/04|09/25|Common Stock|34,782 |N/A |34,782 |D | | (Right to Buy) |h | | | | |/98 |/08 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Stock Option - Non-Quali|$2.00/sh|N/A | | | |12/04|09/25|Common Stock|52,718 |N/A |52,718 |D | | fied (Right to Buy) (e| | | | | |/98 |/08 | | | | | | | ) | | | | | | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________|
Explanation of Responses: (a) Consists of shares subject to forfeiture. The shares are deemed "earned out" by the Reporting Person: (i) if he is continuously employed by USEG until he retires; (ii) if he becomes disabled; (iii) upon his death, or (iv) if the shares are claimed within three years following the occurrence of (i), (ii) or (iii). (b) Consists of shares indirectly held by the Reporting Person as Custodian for his minor children under the Wyoming Uniform Transfer to Minors Act. The Reporting Person disclaims beneficial and pecuniary interest in these shares. (c) Consists of shares held in the U.S. Energy Corp. Employee Stock Ownership Plan (the "ESOP") in an account established for the benefit of the Reporting Person. (d) Consists of shares held in ESOP accounts established to benefit members of the Reporting Person's "immediate family" as that term is defined in Rule 16a-1(e), in accordance with Rule 16a-8(b)(2). The Reporting Person disclaims beneficial and pecuniary interest in the shares reported under footnotes b and d. SIGNATURE OF REPORTING PERSON /s/ KEITH G. LARSEN DATE JULY 25, 2000 -----END PRIVACY-ENHANCED MESSAGE-----