0001213900-16-017963.txt : 20161103
0001213900-16-017963.hdr.sgml : 20161103
20161103183347
ACCESSION NUMBER: 0001213900-16-017963
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161101
FILED AS OF DATE: 20161103
DATE AS OF CHANGE: 20161103
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: McAvoy Sean M
CENTRAL INDEX KEY: 0001642615
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-22563
FILM NUMBER: 161973192
MAIL ADDRESS:
STREET 1: 345 LORTON AVENUE
STREET 2: SUITE 303
CITY: BURLINGAME
STATE: CA
ZIP: 94010
4
1
f4110116mcavoy_sgblocks.xml
OWNERSHIP DOCUMENT
X0306
4
2016-11-01
0
0001023994
SG BLOCKS, INC.
SGBX***
0001642615
McAvoy Sean M
C/O HILLAIR CAPITAL MANAGEMENT LLC
345 LORTON AVENUE, SUITE 303
BURLINGAME
CA
94010
1
0
0
0
Stock Options (right to buy)
1.00
2016-11-01
4
A
0
50000
0
A
2026-10-31
Common Stock
50000
50000
D
The options are exercisable at the greater of $1.00 and fair market value, which will be determined within 90 days of the date of grant.
The options were issued pursuant to the Issuer's Stock Option Plan.
The options vest, subject to the Reporting Person's continued role as a director, in equal installments of 12,500 underlying shares of common stock on the last day of each fiscal quarter following the date of grant until the options are 100% vested.
*** The Issuer currently intends to apply for quotation or listing under this symbol in the future.
/s/ Sean M. McAvoy
2016-11-03