0000921895-12-002228.txt : 20121121 0000921895-12-002228.hdr.sgml : 20121121 20121121155636 ACCESSION NUMBER: 0000921895-12-002228 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121119 FILED AS OF DATE: 20121121 DATE AS OF CHANGE: 20121121 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Magrane J. Scott CENTRAL INDEX KEY: 0001532973 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22563 FILM NUMBER: 121221245 MAIL ADDRESS: STREET 1: C/O SG BLOCKS, INC. STREET 2: 400 MADISON AVENUE, SUITE 16C CITY: NEW YORK STATE: NY ZIP: 10017 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SG BLOCKS, INC. CENTRAL INDEX KEY: 0001023994 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-LUMBER & OTHER CONSTRUCTION MATERIALS [5030] IRS NUMBER: 954463937 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 400 MADISON AVENUE STREET 2: SUITE 16C CITY: NEW YORK STATE: NY ZIP: 10017 BUSINESS PHONE: (646) 747-2423 MAIL ADDRESS: STREET 1: 400 MADISON AVENUE STREET 2: SUITE 16C CITY: NEW YORK STATE: NY ZIP: 10017 FORMER COMPANY: FORMER CONFORMED NAME: CDSI HOLDINGS INC DATE OF NAME CHANGE: 19990114 FORMER COMPANY: FORMER CONFORMED NAME: PC411 INC DATE OF NAME CHANGE: 19961001 4 1 form408066001c_11212012.xml OWNERSHIP DOCUMENT X0306 4 2012-11-19 0 0001023994 SG BLOCKS, INC. SGBX 0001532973 Magrane J. Scott C/O SG BLOCKS, INC. 400 MADISON AVENUE, SUITE 16C NEW YORK NY 10017 1 0 0 0 Common Stock 2012-11-19 4 P 0 28571 0.35 A 409708 I See footnote Mr. Magrane acquired these shares throuh Two Lake, LLC, an entity of which he is the Managing Member. Mr. Magrane specifically disclaims beneficial ownership of the shares held by Two Lake, LLC except to the extent of his pecuniary interest therein. J. Scott Magrane 2012-11-21