0000945564-12-000001.txt : 20120210 0000945564-12-000001.hdr.sgml : 20120210 20120210104635 ACCESSION NUMBER: 0000945564-12-000001 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111231 FILED AS OF DATE: 20120210 DATE AS OF CHANGE: 20120210 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: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35012 FILM NUMBER: 12590130 MAIL ADDRESS: STREET 1: 3006 HIGHLAND DR STREET 2: STE 206 CITY: SALT LAKE CITY STATE: UT ZIP: 84106 5 1 primary_doc.xml PRIMARY DOCUMENT X0304 5 2011-12-31 0 0 0 0000907649 FX ENERGY INC FXEN 0000945564 PIERCE DAVID N 3006 HIGHLAND DR STE 206 SALT LAKE CITY UT 84106 1 1 0 0 CEO Common stock 2011-06-07 5 G 0 24000 0 D 431669 D Common stock 15000 I By IRA Common stock 65987 I By 401(k) Common stock 2000 I By spouse Includes 14,000 restricted shares that vest on December 21, 2012, 28,000 restricted shares that vest in two equal annual installments beginning December 21, 2012, and 35,500 restricted shares that vest in three equal annual installments beginning September 16, 2012. Includes 24,000 shares held for the benefit of reporting person's children. The reporting person disclaims beneficial ownership of securities held for the benefit of the reporting person's children and the report shall not be deemed an admission that the reporting person is the owner of such securities for the purpose of Section 16 or for any other purpose. Shares contributed by the issuer to the reporting person's 401(k). Shares held for the benefit of the reporting person's children. David N. Pierce 2012-02-10