0001161697-17-000316.txt : 20170707
0001161697-17-000316.hdr.sgml : 20170707
20170707090021
ACCESSION NUMBER: 0001161697-17-000316
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170706
FILED AS OF DATE: 20170707
DATE AS OF CHANGE: 20170707
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: VISUALANT INC
CENTRAL INDEX KEY: 0001074828
STANDARD INDUSTRIAL CLASSIFICATION: MEASURING & CONTROLLING DEVICES, NEC [3829]
IRS NUMBER: 911948357
STATE OF INCORPORATION: NV
FISCAL YEAR END: 0930
BUSINESS ADDRESS:
STREET 1: 500 UNION STREET
STREET 2: SUITE 420
CITY: SEATTLE
STATE: WA
ZIP: 98101
BUSINESS PHONE: 206-903-1351
MAIL ADDRESS:
STREET 1: 500 UNION STREET
STREET 2: SUITE 420
CITY: SEATTLE
STATE: WA
ZIP: 98101
FORMER COMPANY:
FORMER CONFORMED NAME: Visualant, INC
DATE OF NAME CHANGE: 20050106
FORMER COMPANY:
FORMER CONFORMED NAME: STARBERRYS CORP
DATE OF NAME CHANGE: 20020918
FORMER COMPANY:
FORMER CONFORMED NAME: CIGAR KING CORP
DATE OF NAME CHANGE: 19990127
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ERICKSON RONALD P
CENTRAL INDEX KEY: 0001140319
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-30262
FILM NUMBER: 17953927
MAIL ADDRESS:
STREET 1: 9437 NE CORAL COURT
CITY: BAINBRIDGE ISLAND
STATE: WA
ZIP: 98110
4
1
form_4.xml
FORM 4 FOR 07-06-2017
X0306
4
2017-07-06
0
0001074828
VISUALANT INC
VSUL
0001140319
ERICKSON RONALD P
500 UNION STREET
SUITE 420
SEATTLE
WA
98101
1
1
0
0
CEO and President
Common Stock
2017-07-06
4
P
0
2000
0.23
A
20934
D
Common Stock
3334
I
.
Common Stock
1467
I
.
Common Stock
20336
I
.
Common Stock
110001
I
.
Common Stock
1014
I
.
Series A Warrant
.15
2013-06-14
2018-06-14
Common Stock
33333
0
I
.
Series B Warrant
.20
2013-06-14
2018-06-14
Common Stock
33334
0
I
.
Option to Purchase Common Stock
22.50
2020-05-09
Common Stock
13334
13334
D
Option to Purchase Common Stock
19.50
2022-06-05
Common Stock
6667
6667
D
Held by Dia Armenta, the Reporting Person's wife.
Held by Ronald Erickson, the Reporting Person and Dia Armenta, the Reporting Person's wife.
Held by Juliz Limited Partnership- Family LP.
Held by J3E2A2Z Limited Partnership.
Held by Cerillion N4, an entity that is 50% owned by Dia Armenta, the Reporting Person's wife.
Option shares fully-vested quarterly over 2 years commencing 05/10/2010.
Option shares fully-vested quarterly over 1 year commencing 06/05/2012.
/s/ Ronald P. Erickson
2017-07-07