0001144204-19-025698.txt : 20190513
0001144204-19-025698.hdr.sgml : 20190513
20190513184741
ACCESSION NUMBER: 0001144204-19-025698
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190509
FILED AS OF DATE: 20190513
DATE AS OF CHANGE: 20190513
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SIMMONS JAMES M
CENTRAL INDEX KEY: 0001238466
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35521
FILM NUMBER: 19820017
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CLEARSIGN COMBUSTION CORP
CENTRAL INDEX KEY: 0001434524
STANDARD INDUSTRIAL CLASSIFICATION: INDUSTRIAL INSTRUMENTS FOR MEASUREMENT, DISPLAY, AND CONTROL [3823]
IRS NUMBER: 000000000
STATE OF INCORPORATION: WA
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 12870 INTERURBAN AVENUE SOUTH
CITY: SEATTLE
STATE: WA
ZIP: 98168
BUSINESS PHONE: (206) 673-4848
MAIL ADDRESS:
STREET 1: 12870 INTERURBAN AVENUE SOUTH
CITY: SEATTLE
STATE: WA
ZIP: 98168
4
1
tv521424_4.xml
OWNERSHIP DOCUMENT
X0306
4
2019-05-09
0
0001434524
CLEARSIGN COMBUSTION CORP
CLIR
0001238466
SIMMONS JAMES M
12870 INTERURBAN AVENUE SOUTH
SEATTLE
WA
98168
1
0
0
0
Option to Purchase Common Stock
1.00
2019-05-09
4
A
0
16250
0.00
A
2029-04-01
Common Stock
16250
16250
D
On May 9, 2019, the Issuer's board of directors approved compensation to be paid to the Issuer's non-executive directors for services provided to the Issuer during the first quarter of 2019. The reporting person is a non-executive director. The number of option shares awarded was based on the services provided by the director. These services include, depending on the individual, Board participation, committee participation, committee chair responsibilities and lead director responsibilities, if any. The shares of common stock are issued from the Company's 2011 Equity Incentive Plan.
/s/ James M. Simmons
2019-05-13