0001144204-11-032241.txt : 20110524 0001144204-11-032241.hdr.sgml : 20110524 20110524215936 ACCESSION NUMBER: 0001144204-11-032241 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110520 FILED AS OF DATE: 20110524 DATE AS OF CHANGE: 20110524 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LAKY DAVID J CENTRAL INDEX KEY: 0001400992 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-03125 FILM NUMBER: 11869444 MAIL ADDRESS: STREET 1: 2520 AUGUSTA DRIVE CITY: WHITEHALL STATE: PA ZIP: 18052 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MedClean Technologies, Inc. CENTRAL INDEX KEY: 0000040528 STANDARD INDUSTRIAL CLASSIFICATION: HAZARDOUS WASTE MANAGEMENT [4955] IRS NUMBER: 210661726 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3 TROWBRIDGE DRIVE CITY: BETHEL STATE: CT ZIP: 06801 BUSINESS PHONE: 203 798 1080 MAIL ADDRESS: STREET 1: 3 TROWBRIDGE DRIVE CITY: BETHEL STATE: CT ZIP: 06801 FORMER COMPANY: FORMER CONFORMED NAME: ADUROMED INDUSTRIES, INC. DATE OF NAME CHANGE: 20070130 FORMER COMPANY: FORMER CONFORMED NAME: GENERAL DEVICES INC DATE OF NAME CHANGE: 19920703 4 1 v224101_ex.xml X0303 4 2011-05-20 0 0000040528 MedClean Technologies, Inc. MCLN 0001400992 LAKY DAVID J 2520 AUGUSTA DRIVE WHITEHALL PA 18052 1 1 0 0 CEO, President and Director Common Stock 2011-05-20 2011-05-20 4 P 0 50000 0.0033 A 60000 D Option 0.004 2008-10-21 2013-10-21 Common Stock 6000000 6000000 D Option 0.004 2009-05-01 2014-05-01 Common Stock 50000000 50000000 D Option 0.0084 2009-11-30 2014-11-30 Common Stock 26961178 17974119 D Exercisable with respect to (i) 8,987,060 shares on 11/11/09; (ii) 8,987,059 shares on 11/11/10; and (iii) 8,987,059 shares on 11/11/11. /s/ David J. Laky 2011-05-24