- Initial Statement of Beneficial Ownership (3)
March 25 2011 - 6:27PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
Expires:
February 28, 2011
Estimated average burden
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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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1. Name and Address of Reporting Person
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Crutchfield Scott
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2. Date of Event Requiring Statement (MM/DD/YYYY)
3/17/2011
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3. Issuer Name
and
Ticker or Trading Symbol
Crocs, Inc. [CROX]
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(Last)
(First)
(Middle)
C/O CROCS, INC., 6328 MONARCH PARK PLACE
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
_____ 10% Owner
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X
___ Officer (give title below)
_____ Other (specify below)
Senior VP, WWOps /
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(Street)
NIWOT, CO 80503
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Common Stock
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34297
(1)
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D
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Employee Stock Option (Right to Buy)
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(2)
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11/17/2018
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Common Stock
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33000
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$1.14
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D
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Employee Stock Option (Right to Buy)
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(3)
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2/7/2016
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Common Stock
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93748
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$10.50
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D
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Explanation of Responses:
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(
1)
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Includes 24,667 shares of restricted stock that vest as follows: (i) 6,667 shares that vest on November 17, 2011; (ii) 9,000 shares that vest in four equal annual installments on June 15, 2011, June 15, 2012, June 15, 2013 and June 15, 2014; and (iii) 9,000 shares that vest on June 15, 2014, provided that certain corporate performance metrics are achieved and the reporting person remains employed by the issuer as of such vesting date.
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(
2)
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Twenty-five percent (25%) of the stock options vested and became exercisable on November 17, 2009. Thereafter, the remaining options vest and become exercisable in thirty-six (36) successive equal monthly installments upon the reporting person's completion of each additional month of continuous service with the issuer.
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(
3)
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All of the stock options are currently vested and exercisable.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Crutchfield Scott
C/O CROCS, INC.
6328 MONARCH PARK PLACE
NIWOT, CO 80503
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Senior VP, WWOps
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Signatures
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/s/ Ned Prusse, Attorney-in-Fact
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3/25/2011
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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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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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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