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