0001171843-17-003340.txt : 20170526 0001171843-17-003340.hdr.sgml : 20170526 20170526125258 ACCESSION NUMBER: 0001171843-17-003340 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170522 FILED AS OF DATE: 20170526 DATE AS OF CHANGE: 20170526 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: Hiscocks David CENTRAL INDEX KEY: 0001707735 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33522 FILM NUMBER: 17872977 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 2017-05-22 0 0001375063 SYNTHESIS ENERGY SYSTEMS INC SYMX 0001707735 Hiscocks David THREE RIVERWAY, SUITE 300 HOUSTON TX 77056 0 1 0 0 Controller Stock Option (right to buy) 0.92 2027-05-09 Common Stock 44776 D This option vests in four equal yearly installments beginning on the first anniversary of the date of grant. /s/ David Hiscocks 2017-05-26