0001144204-17-034493.txt : 20170628
0001144204-17-034493.hdr.sgml : 20170628
20170628060250
ACCESSION NUMBER: 0001144204-17-034493
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170627
FILED AS OF DATE: 20170628
DATE AS OF CHANGE: 20170628
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
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LEE ANDREW U
CENTRAL INDEX KEY: 0001243871
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35521
FILM NUMBER: 17933660
4
1
v469849_4.xml
OWNERSHIP DOCUMENT
X0306
4
2017-06-27
0
0001434524
CLEARSIGN COMBUSTION CORP
CLIR
0001243871
LEE ANDREW U
12870 INTERURBAN AVENUE SOUTH
SEATTLE
WA
98168
0
1
0
0
See Remarks
Option to Purchase Common Stock
3.80
2017-06-27
4
A
0
12000
0.00
A
2027-04-01
Common Stock
12000
164855
D
The reporting person was notified of the grant on June 27, 2017. The grant was made by the Compensation Committee by a Resolution of Unanimous Written Consent June 23, 2017.
The right to purchase the option shares vests at the rate of 6.25% commencing on June 30, 2017 and continuing thereafter on the last day of each quarter until the right to purchase all of the option shares has vested.
Senior Vice President of Business Development
/s/ Andrew Lee
2017-06-27