0001209191-17-031899.txt : 20170512
0001209191-17-031899.hdr.sgml : 20170512
20170512161033
ACCESSION NUMBER: 0001209191-17-031899
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: Fowler Charles D.
CENTRAL INDEX KEY: 0001621008
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36670
FILM NUMBER: 17838714
MAIL ADDRESS:
STREET 1: C/O CORNERSTONE FAMILY OFFICE, LLC
STREET 2: 5585 LANDERBROOK DR. #300
CITY: MAYFIELD HEIGHTS
STATE: OH
ZIP: 44124
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-05-10
0
0001010858
FAIRMOUNT SANTROL HOLDINGS INC.
FMSA
0001621008
Fowler Charles D.
13515 SHAKER BLVD., 5B
CLEVELAND
OH
44120
1
0
0
0
Common Stock
2017-05-10
4
A
0
18083
0.00
A
1723215
D
Common Stock
9427988
I
See Footnote
As trustee of Charles D. Fowler Declaration of Trust dated September 26, 1991.
/s/ Charles D. Fowler, 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