0001213900-17-006809.txt : 20170623
0001213900-17-006809.hdr.sgml : 20170623
20170623193536
ACCESSION NUMBER: 0001213900-17-006809
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161228
FILED AS OF DATE: 20170623
DATE AS OF CHANGE: 20170623
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: McAvoy Sean M
CENTRAL INDEX KEY: 0001642615
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38037
FILM NUMBER: 17928732
MAIL ADDRESS:
STREET 1: 345 LORTON AVENUE
STREET 2: SUITE 303
CITY: BURLINGAME
STATE: CA
ZIP: 94010
4
1
f4122816mcavoy_sgblocks.xml
OWNERSHIP DOCUMENT
X0306
4
2016-12-28
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
1
0
Stock Option (right to buy)
3.00
2016-12-28
4
J
0
16667
0
D
2016-10-31
Common Stock
16667
0
D
The exercise price and number of underlying shares of common stock reported herein reflect a 3-for-1 reverse stock split of the issuer's common stock and preferred stock effected on February 28, 2017.
The Reporting Person assigned the options to Hillair Capital Investments LP, a Cayman Islands limited partnership, an affiliate of the Reporting Person.
The options vest, subject to the Reporting Person's continued role as director, as to 25% of the underlying shares on the last day of each fiscal quarter following the date of grant until the options are 100% vested.
The options were granted under the issuer's stock incentive plan and without payment of consideration in connection with the reporting person's service as a director.
/s/ Sean M. McAvoy
2017-06-23