Uranerz Energy Corporation
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(Name of Issuer)
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Common Shares
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(Title of Class of Securities)
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91688T104
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(CUSIP Number)
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September 21, 2011
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(Date of Event Which Requires Filing of This Statement)
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o | Rule 13d-1(b) |
x | Rule 13d-1(c) |
o | Rule 13d-1(d) |
CUSIP No. 91688T104
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13G
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Page of 2 of 5 Pages
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1
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NAME OF REPORTING PERSONS
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS
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Robert Disbrow
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) o
(b) o
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3
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SEC USE ONLY
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4
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CITIZENSHIP OR PLACE OF ORGANIZATION
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Canada
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5
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SOLE VOTING POWER
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NUMBER OF
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2,710,000*
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SHARES
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6
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SHARED VOTING POWER
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BENEFICIALLY
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0*
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OWNED BY
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7
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SOLE DISPOSITIVE POWER
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EACH
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2,710,000*
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REPORTING
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8
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SHARED DISPOSITIVE POWER
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PERSON WITH
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5,201,800*
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9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
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7,911,800*
*The reporting person individually owns 2,710,000 common shares and has dispositive power over an additional 5,201,800 common shares held by Haywood Securities Inc.
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10
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CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* o
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11
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
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10.26%**
**The percentages used herein are based upon outstanding common shares as of January 5, 2012.
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12
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TYPE OF REPORTING PERSON*
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IN
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CUSIP No. 91688T104
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13G
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Page of 3 of 5 Pages
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Item 3.
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If this statement is filed pursuant to Rules 13d-1(b), or 13d-2(b) or (c), check whether the person filing is a:
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(a)
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Broker or dealer registered under Section 15 of the Act;
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(b)
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Bank as defined in Section 3(a)(6) of the Act;
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(c)
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Insurance Company as defined in Section 3(a)(19) of the Act;
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(d)
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Investment Company registered under Section 8 of the Investment Company Act;
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(e)
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Investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E);
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(f)
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Employee benefit plan or endowment plan in accordance with Rule 13d-1(b)(1)(ii)(F);
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(g)
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Parent holding company or control person, in accordance with Rule 13d-1(b)(1)(ii)(G);
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(h)
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A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act;
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(i)
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A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act of 1940:
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(j)
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Group, in accordance with Rule 13d-1(b)(1)(ii)(j).
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R
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If this statement is filed pursuant to Rule 13d-1(c), check this box.
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CUSIP No. 91688T104
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13G
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Page of 4 of 5 Pages
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Item 4.
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Ownership.
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Provide the following information regarding the aggregate number and percentage of the class of securities identified in Item 1.
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(a)
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Amount beneficially owned:
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See Item 9 on the cover page
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(b)
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Percent of class:
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See Item 11 on the cover page
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(c)
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Number of shares as to which such person has:
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Item 5.
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Ownership of Five Percent or Less of a Class.
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If the statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following [ ].
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Item 6.
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Ownership of More than Five Percent on Behalf of Another Person.
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N/A
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Item 7.
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Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company.
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N/A
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CUSIP No. 91688T104
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13G
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Page of 5 of 5 Pages
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Item 8.
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Identification and Classification of Members of the Group.
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N/A
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Item 9.
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Notice of Dissolution of Group.
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N/A
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Item 10.
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Certification.
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By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.
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SIGNATURE
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January 5, 2012
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(Date)
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/s/ Robert Disbrow
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Robert Disbrow
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