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