0001171843-17-003271.txt : 20170523
0001171843-17-003271.hdr.sgml : 20170523
20170523161525
ACCESSION NUMBER: 0001171843-17-003271
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170517
FILED AS OF DATE: 20170523
DATE AS OF CHANGE: 20170523
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: Fair DeLome
CENTRAL INDEX KEY: 0001666399
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33522
FILM NUMBER: 17863896
MAIL ADDRESS:
STREET 1: C/O SYNTHESIS ENERGY SYSTEMS, INC.
STREET 2: THREE RIVERWAY, SUITE 300
CITY: HOUSTON
STATE: TX
ZIP: 77056
4
1
formfour.xml
OWNERSHIP DOCUMENT
X0306
4
2017-05-17
0
0001375063
SYNTHESIS ENERGY SYSTEMS INC
SYMX
0001666399
Fair DeLome
THREE RIVERWAY, SUITE 300
HOUSTON
TX
77056
1
1
0
0
Chief Executive Officer
Stock Option (right to buy)
0.82
2017-05-17
4
A
0
104755
0
A
2027-05-01
Common Stock
104755
104755
D
This option was issued to the reporting person in lieu of $50,000 of base salary earned for the period from May 1, 2017 to October 31, 2017.
/s/ DeLome Fair
2017-05-23