0001171843-16-012550.txt : 20161020 0001171843-16-012550.hdr.sgml : 20161020 20161020161514 ACCESSION NUMBER: 0001171843-16-012550 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161014 FILED AS OF DATE: 20161020 DATE AS OF CHANGE: 20161020 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SYNTHESIS ENERGY SYSTEMS INC CENTRAL INDEX KEY: 0001375063 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS PRODUCTS OF PETROLEUM & COAL [2990] IRS NUMBER: 202110031 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: THREE RIVERWAY, SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 713-579-0600 MAIL ADDRESS: STREET 1: THREE RIVERWAY, SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Davis Scott Jackson CENTRAL INDEX KEY: 0001687969 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33522 FILM NUMBER: 161944572 MAIL ADDRESS: STREET 1: C/O SYNTHESIS ENERGY SYSTEMS, INC. STREET 2: THREE RIVERWAY, SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 3 1 formthree.xml OWNERSHIP DOCUMENT X0206 3 2016-10-14 0 0001375063 SYNTHESIS ENERGY SYSTEMS INC SYMX 0001687969 Davis Scott Jackson THREE RIVERWAY, SUITE 300 HOUSTON TX 77056 0 1 0 0 Chief Accounting Officer Common Stock 57471 D Common Stock 47619 D /s/ Scott Davis 2016-10-20