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