0001209191-17-031894.txt : 20170512
0001209191-17-031894.hdr.sgml : 20170512
20170512160918
ACCESSION NUMBER: 0001209191-17-031894
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170510
FILED AS OF DATE: 20170512
DATE AS OF CHANGE: 20170512
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: 17838675
MAIL ADDRESS:
STREET 1: 32400 FAIRMOUNT BLVD.
CITY: PEPPER PIKE
STATE: OH
ZIP: 44124
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-05-10
0
0001010858
FAIRMOUNT SANTROL HOLDINGS INC.
FMSA
0001620987
Conway William E.
32400 FAIRMOUNT BLVD.
PEPPER PIKE
OH
44124
1
0
0
0
Common Stock
2017-05-10
4
A
0
18083
0.00
A
56549
D
Common Stock
491450
I
See Footnote
Common Stock
199580
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
2017-05-12