0001213900-17-002304.txt : 20170314
0001213900-17-002304.hdr.sgml : 20170314
20170314182041
ACCESSION NUMBER: 0001213900-17-002304
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170310
FILED AS OF DATE: 20170314
DATE AS OF CHANGE: 20170314
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: 195 MONTAGUE STREET, 14TH FLOOR
CITY: BROOKLYN
STATE: NY
ZIP: 11201
BUSINESS PHONE: (646) 240-4235
MAIL ADDRESS:
STREET 1: 195 MONTAGUE STREET, 14TH FLOOR
CITY: BROOKLYN
STATE: NY
ZIP: 11201
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: 17689303
MAIL ADDRESS:
STREET 1: 429 MEMORY LANE
CITY: MARSHALL
STATE: TX
ZIP: 75672
4
1
f4031017shetty_sgblocks.xml
OWNERSHIP DOCUMENT
X0306
4
2017-03-10
0
0001023994
SG BLOCKS, INC.
SGBX*
0001362346
Shetty Mahesh S
C/O SG BLOCKS, INC.,
195 MONTAGUE STREET, 14TH FLOOR
BROOKLYN,
NY
11201
1
1
0
0
CFO
Stock Option (right to buy)
2017-03-10
4
A
0
79468
0
A
2027-03-10
Common Stock
79468
79468
D
Stock Option (right to buy)
2017-03-10
4
A
0
52978
0
A
2027-03-10
Common Stock
52978
52978
D
The options, issued under the issuer's stock incentive plan, will have an exercise price equal to the price per share at which the public purchases shares of common stock in the offering pursuant to which a registration statement on Form S-1 was filed with the Securities and Exchange Commission on February 6, 2017.
The options, issued under the issuer's stock incentive plan, will have an exercise price equal to 120% of the price per share at which the public purchases shares of common stock in the offering pursuant to which a registration statement on Form S-1 was filed with the Securities and Exchange Commission on February 6, 2017.
The options will vest and become exercisable in three tranches, with 1/3 of each option vesting upon the achievement of any one of three performance targets, as specified in the stock option agreement.
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
2017-03-14