Statement of Changes in Beneficial Ownership (4)
June 30 2015 - 1:14PM
Edgar (US Regulatory)
FORM 4
[
X
]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Dyck Arnold Jacob
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2. Issuer Name
and
Ticker or Trading Symbol
URANERZ ENERGY CORP.
[
URZ
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
_____ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Last)
(First)
(Middle)
504-230 SASKATCHEWAN CRESCENT EAST
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3. Date of Earliest Transaction
(MM/DD/YYYY)
6/18/2015
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(Street)
SASKATOON, A9 S7N0K6
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common shares
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6/18/2015
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D
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3000
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D
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(1)
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0
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D
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Option
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$1.96
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6/18/2015
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D
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100000
(1)
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5/23/2006
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5/23/2016
(2)
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Common stock
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100000
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(3)
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0
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D
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Option
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$2.64
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6/18/2015
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D
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35000
(1)
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1/7/2008
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1/7/2018
(2)
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Common stock
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35000
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(3)
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0
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D
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Option
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$1.89
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6/18/2015
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D
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35000
(1)
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12/12/2011
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12/12/2021
(2)
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Common stock
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35000
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(3)
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0
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D
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Option
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$1.32
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6/18/2015
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D
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35000
(1)
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12/17/2012
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12/16/2022
(2)
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Common stock
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35000
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(3)
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0
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D
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Option
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$1.22
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6/18/2015
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D
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78000
(1)
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7/12/2013
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7/11/2023
(2)
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Common stock
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78000
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(3)
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0
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D
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Option
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$1.14
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6/18/2015
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D
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35000
(1)
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1/17/2015
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1/16/2025
(2)
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Common stock
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35000
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(3)
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0
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D
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Explanation of Responses:
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(
1)
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This transaction reflects the disposition of the securities of the Issuer held by the reporting person pursuant to the Agreement and Plan of Merger dated January 4, 2015, as amended (the "Merger Agreement"), by and among the Issuer, Energy Fuels Inc. (the "Acquirer"), and EFR Nevada Corp. The parties completed the merger on June 18, 2015 (the "Closing Date"), with each share of common stock of the Issuer being exchanged for 0.255 shares of the Acquirer (the "Exchange Ratio").
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(
2)
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According to the terms of the Merger Agreement, the reporting person, as a former director of the Acquirer who is not continuing as an officer or director of the Acquirer, this option will expire on the earlier of (i) the original expiry date for such option, and (ii) six months from the Closing Date.
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(
3)
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This option, which is fully vested and exercisable, was assumed by the Acquirer and replaced with an option to purchase shares of common stock of the Acquirer. Both the number of shares under the option and the exercise price are adjusted by the Exchange Ratio.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Dyck Arnold Jacob
504-230 SASKATCHEWAN CRESCENT EAST
SASKATOON, A9 S7N0K6
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X
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Signatures
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/s/ Arnold Jacob Dyck
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6/25/2015
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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