0001213900-17-000906.txt : 20170202 0001213900-17-000906.hdr.sgml : 20170202 20170202170905 ACCESSION NUMBER: 0001213900-17-000906 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170131 FILED AS OF DATE: 20170202 DATE AS OF CHANGE: 20170202 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: Shetty Mahesh S CENTRAL INDEX KEY: 0001362346 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22563 FILM NUMBER: 17569229 MAIL ADDRESS: STREET 1: 429 MEMORY LANE CITY: MARSHALL STATE: TX ZIP: 75672 4 1 f4013117shetty_sgblocks.xml OWNERSHIP DOCUMENT X0306 4 2017-01-31 0 0001023994 SG BLOCKS, INC. SGBX* 0001362346 Shetty Mahesh S C/O SG BLOCKS, INC., 195 MONTAGUE STREET BROOKLYN NY 11201 1 1 0 0 CFO Stock Option (right to buy) 3.00 2017-01-31 4 A 0 13200 0 A 2017-01-31 2027-01-31 Common Stock 13200 48373 D Stock Option (right to buy) 3.00 2017-01-31 4 A 0 55838 0 A 2017-03-31 2027-01-31 Common Stock 55838 104211 D The securities reported herein are presented to give effect to a 1-for-3 reverse stock split to be completed by the Company after the filing of this report. The options were issued under the issuer's stock incentive plan and vested in full on the grant date. The options were issued under the issuer's stock incentive plan and will vest in equal quarterly installments over two years from the grant date so long as the reporting person remains an employee of the issuer. The options were granted under the issuer's stock incentive plan and without payment of consideration in connection with the reporting person's employment with the issuer. * The issuer intends to apply for quotation or listing under this symbol in the future. /s/ Mahesh Shetty 2017-02-02