UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
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. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Killgore Michael D C/O PRIMORIS SERVICE CORPORATION 2100 MCKINNEY AVENUE, SUITE 1500 DALLAS, TX 75201 |
 X |  |  Exec VP, Dir Const Svcs |  |
/s/ Peter J. Moerbeek, by power of attorney | 03/17/2011 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(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). |
(1) | Represents shares of common stock issued to Mr. Killgore on April 12, 2010, in connection with the issuer's acquisition of James Construction Group, LLC. At the closing of the acquisition on December 18, 2009, Mr. Killgore was issued a total of 7,070.34 shares of the issuer's Series A Contingent Convertible Preferred Stock. At a special meeting of the stockholders of the issuer on April 12, 2010, the issuer's stockholders approved the conversion of Mr. Killgore's preferred shares into a total of 707,034 shares of common stock. |