0000950142-16-004204.txt : 20160729
0000950142-16-004204.hdr.sgml : 20160729
20160729171839
ACCESSION NUMBER: 0000950142-16-004204
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160630
FILED AS OF DATE: 20160729
DATE AS OF CHANGE: 20160729
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: 3 COLUMBUS CIRCLE
STREET 2: 16TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10019
BUSINESS PHONE: (212) 520-6218
MAIL ADDRESS:
STREET 1: 3 COLUMBUS CIRCLE
STREET 2: 16TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10019
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Grossman Bruce
CENTRAL INDEX KEY: 0001638139
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-22563
FILM NUMBER: 161794964
MAIL ADDRESS:
STREET 1: C/O DILLON HILL CAPITAL LLC
STREET 2: 200 BUSINESS PARK DRIVE, SUITE 306
CITY: ARMONK
STATE: NY
ZIP: 10504
3
1
es1600846_3-grossman.xml
OWNERSHIP DOCUMENT
X0206
3
2016-06-30
0
0001023994
SG BLOCKS, INC.
SGBX
0001638139
Grossman Bruce
C/O DILLON HILL CAPITAL LLC
200 BUSINESS PARK DRIVE, SUITE 306
ARMONK
NY
10504
0
0
1
0
Series A Convertible Preferred Stock
1
Common Stock
1111500
I
See Footnote
The Series A Convertible Preferred Stock became convertible on June 30, 2016 and has a perpetual duration.
Dillon Hill Capital, LLC, of which the Reporting Person is the sole member, directly owns 741,000 shares of Series A Convertible Preferred Stock. Dillon Hill Investment Company, LLC, the sole member of which is a trust of which the Reporting Person's spouse is a co-trustee, directly owns 370,500 shares of Series A Convertible Preferred Stock. The Reporting Person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein.
/s/ Bruce Grossman
2016-07-29