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