SEC FORM 4 SEC Form 4
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*
GOLSEN JACK E

(Last) (First) (Middle)

(Street)

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
LSB INDUSTRIES INC [ LSBD ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
Chairman of BOD & President
3. Date of Earliest Transaction (Month/Day/Year)
06/26/2003
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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 06/26/2003 W(1) 12,090 D (1) 0(1) I by MG Trust
Common Stock 06/26/2003 W(1) 12,090 A (1) 0(1) D
Common Stock 08/11/2003 S 12,090 D $4 40,000(2) D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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
Explanation of Responses:
1. On June 26, 2003, these 12,090 shares were transferred to Jack E. Golsen by the estate of Mildred Goldstein, resulting in his form of beneficial ownership changing from indirect to direct. Mrs. Goldstein was the mother of Jack E. Golsen; he was the executor of the estate and a beneficiary thereunder.
2. The total number of non derivative securities beneficially owned by Jack E. Golsen following the reported transactions is as follows: (a) 40,000 shares owned directly; (b) 1,424,299 shares indirectly owned by SBL Corp. ("SBL") which is wholly owned by Sylvia H. Golsen (wife, 40% owner), Barry Golsen (son, 20% owner), Steve Golsen (son, 20% owner), and Linda Rappaport (daughter, 20% owner), (c) 88,100 shares of Common Stock owned of record by Golsen Petroleum Corp., the wholly owned subsidiary of SBL: (d) 69,029 shares owned indirectly by the Jack E. Golsen 1992 Revocable Trust, of which Jack E. Golsen is the trustee; (e) 928,205 shares owned indirectly by Sylvia H. Golsen, comprised of 643,290 shares owned of record by Mrs. Golsen and 284,915 owned of record by Mrs. Golsen, as trustee of the sylvia H. Golsen 1992 Revocable Trust.
Jack E. Golsen 08/18/2003
** 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).
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