0001161697-17-000383.txt : 20170823
0001161697-17-000383.hdr.sgml : 20170823
20170823165739
ACCESSION NUMBER: 0001161697-17-000383
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170822
FILED AS OF DATE: 20170823
DATE AS OF CHANGE: 20170823
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: 171047602
MAIL ADDRESS:
STREET 1: 9437 NE CORAL COURT
CITY: BAINBRIDGE ISLAND
STATE: WA
ZIP: 98110
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: VISUALANT INC
CENTRAL INDEX KEY: 0001074828
STANDARD INDUSTRIAL CLASSIFICATION: MEASURING & CONTROLLING DEVICES, NEC [3829]
IRS NUMBER: 900273142
STATE OF INCORPORATION: NV
FISCAL YEAR END: 0930
BUSINESS ADDRESS:
STREET 1: 500 UNION STREET
STREET 2: SUITE 810
CITY: SEATTLE
STATE: WA
ZIP: 98101
BUSINESS PHONE: 206-903-1351
MAIL ADDRESS:
STREET 1: 500 UNION STREET
STREET 2: SUITE 810
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
4
1
form_4.xml
FORM 4 FOR 08-22-2017
X0306
4
2017-08-22
0
0001074828
VISUALANT INC
VSUL
0001140319
ERICKSON RONALD P
500 UNION STREET
SUITE 810
SEATTLE
WA
98101
1
1
0
0
CEO and President
Common Stock
20934
D
Common Stock
3334
I
.
Common Stock
1467
I
.
Common Stock
20335
I
.
Common Stock
110001
I
.
Common Stock
2014
I
.
Option to Purchase Common Stock
22.50
2017-08-22
4
J
0
13334
0
D
2020-05-09
Common Stock
13334
0
D
Option to Purchase Common Stock
19.50
2017-08-22
4
J
0
6667
0
D
2022-06-05
Common Stock
6667
0
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.
Voluntary forfeiture.
/s/ Ronald P. Erickson
2017-08-23