0001171843-16-013776.txt : 20161223
0001171843-16-013776.hdr.sgml : 20161223
20161223181732
ACCESSION NUMBER: 0001171843-16-013776
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161219
FILED AS OF DATE: 20161223
DATE AS OF CHANGE: 20161223
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: Raczkowski Chris
CENTRAL INDEX KEY: 0001693184
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33522
FILM NUMBER: 162069524
MAIL ADDRESS:
STREET 1: C/O SYNTHESIS ENERGY SYSTEMS, INC.
STREET 2: THREE RIVERWAY, SUITE 300
CITY: HOUSTON
STATE: TX
ZIP: 77056
3
1
f3_raczkowski122216.xml
OWNERSHIP DOCUMENT
X0206
3
2016-12-19
0
0001375063
SYNTHESIS ENERGY SYSTEMS INC
SYMX
0001693184
Raczkowski Chris
THREE RIVERWAY, SUITE 300
HOUSTON
TX
77056
0
1
0
0
President - Asia
Common Stock
213232
D
Stock Option (right to buy)
0.89
2026-12-16
Common Stock
282971
D
This option vests in four equal quarterly installments beginning on March 31, 2017.
/s/ Scott Davis
2016-12-23