0001213900-17-012194.txt : 20171115 0001213900-17-012194.hdr.sgml : 20171115 20171115183252 ACCESSION NUMBER: 0001213900-17-012194 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171113 FILED AS OF DATE: 20171115 DATE AS OF CHANGE: 20171115 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Melton Christopher CENTRAL INDEX KEY: 0001533552 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38037 FILM NUMBER: 171206306 MAIL ADDRESS: STREET 1: C/O SG BLOCKS, INC., 400 MADISON AVENUE STREET 2: SUITE 16C CITY: NEW YORK STATE: NY ZIP: 10017 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 4 1 f4111317melton_sgblocks.xml OWNERSHIP DOCUMENT X0306 4 2017-11-13 0 0001023994 SG BLOCKS, INC. SGBX 0001533552 Melton Christopher C/O SG BLOCKS, INC. 195 MONTAGUE STREET, 14TH FLOOR BROOKLYN NY 11201 1 0 0 0 COMMON STOCK 2017-11-13 4 P 0 4000 5.45 A 4000 I Owned in Individual Retirement Account COMMON STOCK 1546 D Represents the weighted average purchase price of multiple transactions with a range of prices between $5.44 and $5.4496. The reporting person hereby undertakes to provide, upon request by the Securities and Exchange Commission staff, the issuer or a shareholder of the issuer, full information regarding the number of shares purchased at each separate price. As adjusted for a 1-for-3 reverse stock split of the issuer's common stock, par value $0.01, effected on February 28, 2017. Increase in share number due to the inadvertent omission of 191 shares held by the reporting person from prior reports. /s/ Christopher Melton 2017-11-15