0001209191-16-118176.txt : 20160506 0001209191-16-118176.hdr.sgml : 20160506 20160506172701 ACCESSION NUMBER: 0001209191-16-118176 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160504 FILED AS OF DATE: 20160506 DATE AS OF CHANGE: 20160506 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FAIRMOUNT SANTROL HOLDINGS INC. CENTRAL INDEX KEY: 0001010858 STANDARD INDUSTRIAL CLASSIFICATION: MINING, QUARRYING OF NONMETALLIC MINERALS (NO FUELS) [1400] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 8834 MAYFIELD ROAD CITY: CHESTERLAND STATE: OH ZIP: 44026 BUSINESS PHONE: 800-255-7263 MAIL ADDRESS: STREET 1: 8834 MAYFIELD ROAD CITY: CHESTERLAND STATE: OH ZIP: 44026 FORMER COMPANY: FORMER CONFORMED NAME: FMSA HOLDINGS INC DATE OF NAME CHANGE: 20140818 FORMER COMPANY: FORMER CONFORMED NAME: FML HOLDINGS INC DATE OF NAME CHANGE: 19960318 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Conway William E. CENTRAL INDEX KEY: 0001620987 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36670 FILM NUMBER: 161629308 MAIL ADDRESS: STREET 1: 32400 FAIRMOUNT BLVD. CITY: PEPPER PIKE STATE: OH ZIP: 44124 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-05-04 0 0001010858 FAIRMOUNT SANTROL HOLDINGS INC. FMSA 0001620987 Conway William E. 32400 FAIRMOUNT BLVD. PEPPER PIKE OH 44124 1 0 0 0 Common Stock 2016-05-04 4 A 0 28328 0.00 A 38466 D Common Stock 491450 I See Footnote Common Stock 199850 I See Footnote Common Stock 5000 I See Footnote William E. Conway, Trustee of the Under Trust Agreement dated March 10, 1992. Spouse of Mary F. Conway, Trustee under the Mary F. Conway Declaration of Trust dated December 13, 1980, as modified. As the spouse of the trustee, Mr. Conway is deemed to have voting and investment power over these shares. William E. Conway IRA Standard - "Traditional" IRA. /s/ William E. Conway, by David J. Crandall, his attorney-in-fact pursuant to Power of Attorney dated September 25, 2014 on file with the Commission 2016-05-06