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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Employee Stock Option (right to buy) | $ 3.15 | 11/01/2005 | M | 2,500 | (1) | 09/27/2009 | Common Stock | 2,500 | $ 0 (5) | 0 | D | ||||
Employee Stock Option (right to buy) | $ 3.15 | 11/01/2005 | M | 2,000 | (2) | 05/01/2010 | Common Stock | 2,000 | $ 0 (5) | 0 | D | ||||
Employee Stock Option (right to buy) | $ 3.15 | 11/01/2005 | M | 4,250 | (3) | 02/27/2014 | Common Stock | 25,500 | $ 0 (5) | 21,250 | D | ||||
Employee Stock Option (right to buy) | $ 20.8 | 10/25/2005 | A | 15,000 | (4) | 10/25/2015 | Common Stock | 15,000 | $ 0 (5) | 15,000 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
CROW M CHAD C/O BUILDERS FIRSTSOURCE, INC 2001 BRYAN STREET, SUITE 1600 DALLAS, TX 75201 |
VP of Finance and Controller |
/s/ M. Chad Crow | 11/01/2005 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | 100% is presently exercisable. Option vested in 33.3% increments on each of September 27, 2000-2002. |
(2) | 100% is presently exercisable. Option vested in 20% increments on each of May 1, 2001-2005. |
(3) | 16.67% of this award is presently exercisable and the remainder will become exercisable in 2005 and 2006 should the Company meet certain financial targets in those years. However, regardless of whether the Company meets its financial targets, the option will be fully exercisable on 12/31/2011. |
(4) | The option vests in 33.3% increments on each of October 25, 2006-2008. |
(5) | Not applicable. |