-----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, KLc0LOfxA83+F5DeJN/7K0q7bz/Qjug3kijr9W8nnA0NDcD14EmCUfSV0ovASVzn NSCfTAYvwlP5PoJo0dXfhw== 0000945564-04-000003.txt : 20040603 0000945564-04-000003.hdr.sgml : 20040603 20040603134800 ACCESSION NUMBER: 0000945564-04-000003 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040528 FILED AS OF DATE: 20040603 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FX ENERGY INC CENTRAL INDEX KEY: 0000907649 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 870504461 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3006 HIGHLAND DR STREET 2: STE 206 CITY: SALT LAKE CITY STATE: UT ZIP: 84106 BUSINESS PHONE: 801-486-5555 MAIL ADDRESS: STREET 1: 3006 HIGHLAND DR STREET 2: STE 206 CITY: SALT LAKE CITY STATE: UT ZIP: 84106 FORMER COMPANY: FORMER CONFORMED NAME: FRONTIER OIL EXPLORATION CO DATE OF NAME CHANGE: 19940223 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PIERCE DAVID N CENTRAL INDEX KEY: 0000945564 STATE OF INCORPORATION: UT FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-25386 FILM NUMBER: 04846658 BUSINESS ADDRESS: STREET 1: FX ENERGY INC STREET 2: 3006 HIGHLAND DR STE 206 CITY: SALT LAKE CITY STATE: UT ZIP: 84106 BUSINESS PHONE: 8014865555 MAIL ADDRESS: STREET 1: 3006 HIGHLAND DR STREET 2: STE 206 CITY: SALT LAKE CITY STATE: UT ZIP: 84106 4/A 1 primary_doc.xml PRIMARY DOCUMENT X0202 4/A 2004-05-28 2004-06-02 0 0000907649 FX ENERGY INC FXEN 0000945564 PIERCE DAVID N 3006 HIGHLAND DR STE 206 SALT LAKE CITY UT 84106 1 1 0 0 President Common Stock 2004-05-28 4 M 0 500000 3 A 575550 D Common Stock 2004-05-28 4 F 0 174853 8.82 D 400697 D Common Stock 16000 I By Spouse Non-Qualified Stock Option 3 2004-05-28 4 M 0 500000 3 D 2004-06-09 Common Stock 500000 0 D Exercise of non-qualified options issued in 1994 with expiration date of June 9, 2004. Shares withheld by the Issuer to cover the exercise price of the options and statutory tax withholding requirements. Includes 50,000 shares held of record for the benefit of minor children. The reporting person disclaims beneficial ownership of such securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose. Includes 2,000 shares held of record for the benefit of minor children. The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose. The option vested in 5 equal annual installments beginning June 1, 1995. David N. Pierce 2004-06-03 -----END PRIVACY-ENHANCED MESSAGE-----