0001161697-17-000385.txt : 20170823 0001161697-17-000385.hdr.sgml : 20170823 20170823175718 ACCESSION NUMBER: 0001161697-17-000385 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: Sames Todd Martin CENTRAL INDEX KEY: 0001569631 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-30262 FILM NUMBER: 171047855 MAIL ADDRESS: STREET 1: 500 UNION STREET STREET 2: SUITE 420 CITY: SEATTLE STATE: WA ZIP: 98101 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 form4.xml FORM 4 FOR 08-22-2017 X0306 4 2017-08-22 0 0001074828 VISUALANT INC VSUL 0001569631 Sames Todd Martin 500 UNION STREET SUITE 810 SEATTLE WA 98101 0 1 0 0 V.P. of Business Development Common Stock 1667 D Option to Purchase Common Stock 0.13 2017-08-22 4 J 0 6667 0 D 2017-09-04 Common Stock 6667 0 D Option to Purchase Common Stock 0.10 2017-08-22 4 J 0 2000 0 D 2019-04-01 Common Stock 2000 0 D Option to Purchase Common Stock 0.10 2017-08-22 4 J 0 6668 0 D 2020-01-22 Common Stock 6668 0 D Option shares vest quarterly over 3 years commencing 09/05/2012. Option shares vest quarterly over 3 years commencing 04/02/2014. Option shares vest in accordance with a performance plan during 2015. Voluntary forfeiture. /s/ Todd Sames 2017-08-23