FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
INDUSTRIAL SERVICES OF AMERICA INC /FL [ IDSA ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 11/26/2012 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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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) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 297,700 | I | Held by David T. Russell Trust | |||||||
Common Stock | 11/26/2012 | P | 1 | A | $2.52 | 52,697 | I | Held by IRAs | ||
Common Stock | 11/28/2012 | P | 792 | A | $2.62(1) | 45,297 | I | Held by 401K Plan | ||
Common Stock | 11/29/2012 | P | 297 | A | $2.59(1) | 45,594 | I | Held by 401K Plan | ||
Common Stock | 12/01/2012 | G | 1,090(3) | D | $2.56(2) | 75,362 | D | |||
Common Stock | 61,798 | I | Held in Custodial Accounts for Minor Children | |||||||
Common Stock | 3,279 | I | Held in Custodial Account for Stepson(4) | |||||||
Common Stock | 34,549 | I | Held by 457 Plan |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Option (Right to Buy) | $4.94 | 05/15/2012 | 05/15/2017 | Common Stock | 30,000 | 30,000 | D |
Explanation of Responses: |
1. The price reported in column 4 is a weighted average price. The reporting person undertakes to provide to Industrial Services of America, Inc., any security holder of Industrial Services of America, Inc., or the staff of the Securities and Exchange Commission, full information regarding the number of shares purchased at each separate price within the range set forth above. |
2. Last sale price as of 11/30/2012. Gift was initiated on 12/1/2012, a Saturday. |
3. Donated on 12/1/2012 to Schwab Charitable Fund, a 501(c)3 charity. It is this charity's policy to sell the shares immediately upon receipt. This charity does not seek to benefit from holding shares. The number of shares disposed of through this gift exactly matches the number of shares acquired in the transactions listed on this form. |
4. Shares held in a custodial account for stepson who lives with the reporting person. These shares were previously not reported since the reporting person disclaimed any ownership or control over these shares. Stepson has now reached the age of majority and this ownership is reported in the interest of full disclosure. Reporting person continues to disclaim any ownership or control over these shares. |
DAVID T RUSSELL, PHD | 12/03/2012 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* 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). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
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 Number. |