-----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, M1v/mTHxo8AElcyrnF8UUMYSOINm9X2MH/NZKhhQsW9K50JPYDioi8OwUbiSlvcG 6vjJSuKqgq9Gg6+c/jJMYw== /in/edgar/work/20000725/0001028269-00-000079/0001028269-00-000079.txt : 20000921 0001028269-00-000079.hdr.sgml : 20000921 ACCESSION NUMBER: 0001028269-00-000079 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: 678028 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: EVANS MAX T CENTRAL INDEX KEY: 0001065874 STANDARD INDUSTRIAL CLASSIFICATION: [ ]OFFICER 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 EVANS, MAX T. 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) ( ) Director (X) 10% Owner (X) Officer (give title below) ( ) Other (specify below) SECRETARY 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 |53,255 |D (a) | | CK | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| $.01 PAR VALUE COMMON STO|05/30/|A |12,000 |A |NIL |54,286 |D (b) | | CK |00 | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| $.01 PAR VALUE COMMON STO|5/31/0|A |3,373 |A |NIL |3,373 |I (c) |ESOP Benef. | CK |0 | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| $.01 PAR VALUE COMMON STO|05/31/|A |1,162 |A |NIL |8,400 |I (d) |Son's ESOP | CK |00 | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| $.01 PAR VALUE COMMON STO|N/A | |NONE | |N/A |155,811 |I (e) |ESOP Trustee | CK | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| $.01 PAR VALUE COMMON STO|N/A | |NONE | |N/A |125,556 |I (f) |By Plateau | CK | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| |N/A | |NONE | |N/A |512,359 |I (g) |By Crested | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________ 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|$2.90/sh|N/A | | | |04/15|04/14|Common Stock|57,200 |N/A |57,200 |D | | (Right to Buy) | | | | | |/92 |/02 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| 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-Qauli|$2.00/sh|N/A | | | |12/04|09/25|Common Stock|15,218 |N/A |15,218 |D | | fied (Right to Buy) (| | | | | |/98 |/08 | | | | | | | h) | | | | | | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________|
Explanation of Responses: (a) Consists of 3,821 shares held directly by the Reporting Person, 36,389 shares held by the Reporting Person in joint tenancy with his wife, 13,045 shares held in an Individual Retirement Account for the benefit of the Reporting Person. (b) Consists of 15,750 shares and 38,536 shares subject to forfeiture by the Reporting Person. The 15,750 shares, issued under the USEG Restricted Stock Bonus Plan are deemed "earned out" by the Reporting Person: (i) if he is continuously employed by USEG until he retires; (ii) if he becomes totally disabled; (iii) upon his death, or (iv) if the shares are claimed within three years following the occurrence of (i), (ii) or (iii). The 38,536 shares, issued under the 1996 Stock Award Program, vest at the rate of 20% each year over a five year period and are subject to the forfeiture conditions noted previously. The treasurer of USEG holds the shares in trust for the benefit of the Reporting Person, while the non-employee directors of USEG exercise shared voting and dispositive rights over all 54,286 shares. The shares do not come under the control of the Reporting Person until termination of employment. The total number of shares is presently reported; distributions to the Reporting Person will not be reported separately. The acquisitions of the shares by the Reporting Person from both the Bonus Plan and the Award Plan are exempt under Rule 16b-3. (c) Consists of shares held in the USEG Employee Stock Ownership Plan (the "ESOP") in an account established for the benefit of the Reporting Person. The Reporting Person is over age 70 1/2 and therefore the shares will be immediately distributed to him (ie. his IRA); distribution to the Reporting Person will not be separately reported. (d) Consists of shares held in the ESOP in an account established for the benefit of a member 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). (e) Consists of shares held in the ESOP which are not allocated to accounts established for the benefit of specific plan participants. The Reporting Person, as an ESOP Trustee, exercises the voting powers with respect to such unallocated shares. (f) Consists of shares held by Plateau Resources Limited, a wholly-owned subsidiary of USEG. The Reporting Person is an officer of both USEG and Plateau and a director of Plateau. The Reporting Person is not a controlling shareholder of Plateau, and therefore the Reporting Person does not have a pecuniary interest in the USEG shares held by Plateau, under Rule 16a-1(a)(2)(iii). (g) Consists of shares held by Crested Corp., a majority-owned subsidiary of USEG. The Reporting Person is an officer of both USEG and Crested and a director of Crested. The Reporting Person is not a controlling shareholder of Crested and therefore the Reporting Person does not have a pecuniary interest in the USEG shares held by Crested under Rule 16a-1(a)(2)(iii). Note: Pursuant to SEC Rule 16a-1(a)(2), information on Plateau and Crested is not required, however, Registrant has undertaken comprehensive disclosure and reports shares held by Plateau and Crested as indirectly owned by the Reporting Person. The Reporting Person disclaims beneficial and pecuniary interest in the shares reported under footnotes d, e, f and g. SIGNATURE OF REPORTING PERSON /s/ MAX T. EVANS DATE July 25, 2000 -----END PRIVACY-ENHANCED MESSAGE-----