0001065949-11-000139.txt : 20110817 0001065949-11-000139.hdr.sgml : 20110817 20110817102239 ACCESSION NUMBER: 0001065949-11-000139 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20080101 FILED AS OF DATE: 20110817 DATE AS OF CHANGE: 20110817 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: POTTER JAY S CENTRAL INDEX KEY: 0001349617 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-53204 FILM NUMBER: 111041565 MAIL ADDRESS: STREET 1: 10509 VISTA SORRENTO PKWY STREET 2: SUITE 300 CITY: SAN DIEGO STATE: CA ZIP: 92121 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Envision Solar International, Inc. CENTRAL INDEX KEY: 0001398805 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-ENGINEERING SERVICES [8711] IRS NUMBER: 208457250 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 7675 DAGGET STREET STREET 2: SUITE 150 CITY: SAN DIEGO STATE: CA ZIP: 92111 BUSINESS PHONE: 858-799-4583 MAIL ADDRESS: STREET 1: 7675 DAGGET STREET STREET 2: SUITE 150 CITY: SAN DIEGO STATE: CA ZIP: 92111 FORMER COMPANY: FORMER CONFORMED NAME: Casita Enterprises, Inc. DATE OF NAME CHANGE: 20070508 4 1 primary_doc.xml PRIMARY DOCUMENT X0304 4 2008-01-01 0 0001398805 Envision Solar International, Inc. EVSI 0001349617 POTTER JAY S 7675 DAGGET STREET SUITE 150 SAN DIEGO CA 92111 1 0 0 0 Stock Options 0.27 2011-08-10 4 A 0 200000 0 A 2011-08-10 2021-08-09 Common Stock 200000 991167 D Warrants 0.25 2011-08-10 4 A 0 600000 0 A 2011-08-10 2016-08-09 Common Stock 600000 1591167 D Warrants 0.4 2011-05-05 4 A 0 382143 0 A 2011-05-05 2016-05-04 Common Stock 382143 1973310 D Warrants 1.31 2008-01-01 4 A 0 51768 0 A 2008-01-01 2012-12-31 Common Stock 51768 2025078 D Warrants issued to Fulcrum Enterprises, Inc. for which Mr. Potter is beneficial owner. Warrants issued to Mr. Potter for capital raising services provided via an independent broker dealer. Amount includes 791,167 shares of common stock owned directly. /s/ Jay S. Potter 2011-08-17