UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM SD

Specialized Disclosure Report

 

WSI Industries, Inc.
(Exact name of registrant as specified in its charter)

 

Minnesota   000-00619   41-0691607
(State or other jurisdiction of
incorporation or organization)		   (Commission
File Number)		   (IRS Employer
Identification No.)

 

213 Chelsea Road
Monticello, Minnesota		   55362
(Address of principal executive offices)   (Zip Code)

 

Benjamin J. Rashleger

(763) 295-9202

(Name and telephone number, including area code,
of the person to contact in connection with this report.)

 

Check the appropriate box to indicate the rule pursuant to which this form is being filed, and provide the period to which the information in this form applies:

 

[X] Rule 13p-1 under the Securities Exchange Act (17 CFR 240.13p-1) for the reporting period from January 1 to December 31, 2015

 

 

 

   
 

 

Section 1 – Conflict Minerals Disclosure

 

Item 1.01 Conflict Minerals Disclosure and Report

 

This Form SD of WSI Industries, Inc. (the “Company”) is filed pursuant to Rule 13p-1 promulgated under the Securities Exchange Act of 1934, as amended, for the reporting period from January 1, 2015 to December 31, 2015.

 

Conflict Minerals Disclosure

 

The Company has filed, as Exhibit 1.02 to this Form SD, the Conflict Minerals Report required by Item 1.01. A copy of the Conflict Minerals Report of WSI Industries, Inc. is publicly available at http://www.wsiindustries.com/company/investor-relations.

 

Any reference in this Form SD or the attached Conflict Minerals Report to the Company’s corporate website, and the contents thereof, is provided for convenience only; such website and the contents thereof are not incorporated by reference into this Form SD nor deemed filed with the Securities and Exchange Commission.

 

Item 1.02 Exhibit

 

The Company has filed, as Exhibit 1.01 to this Form SD, the Conflict Minerals Report required by Item 1.01.

 

Section 2 – Exhibits

 

Item 2.01 Exhibit

 

Exhibit 1.01 WSI Industries, Inc. Conflict Minerals Report for 2015 as required by Items 1.01 and 1.02 of Form SD

 

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SIGNATURES

 

Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the registrant has duly caused this report to be signed on its behalf by the duly authorized undersigned.

 

WSI INDUSTRIES, INC.    
     
/s/ Benjamin J. Rashleger   May 19, 2016
By Benjamin J. Rashleger, Chief Executive Officer   Date

 

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