0001378706-17-000006.txt : 20170315 0001378706-17-000006.hdr.sgml : 20170315 20170315165428 ACCESSION NUMBER: 0001378706-17-000006 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161231 FILED AS OF DATE: 20170315 DATE AS OF CHANGE: 20170315 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN DG ENERGY INC CENTRAL INDEX KEY: 0001378706 STANDARD INDUSTRIAL CLASSIFICATION: ELECTRIC & OTHER SERVICES COMBINED [4931] IRS NUMBER: 043569304 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 45 FIRST AVENUE CITY: WALTHAM STATE: MA ZIP: 02451 BUSINESS PHONE: 781-622-1120 MAIL ADDRESS: STREET 1: 45 FIRST AVENUE CITY: WALTHAM STATE: MA ZIP: 02451 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Petersen Deanna M CENTRAL INDEX KEY: 0001493139 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34493 FILM NUMBER: 17691872 MAIL ADDRESS: STREET 1: 45 FIRST AVENUE CITY: WALTHAM STATE: MA ZIP: 02451 5 1 wf-form5_148961125462369.xml FORM 5 X0306 5 2016-12-31 0 0 0 0001378706 AMERICAN DG ENERGY INC ADGE 0001493139 Petersen Deanna M C/O AMERICAN DG ENERGY INC 45 FIRST AVE WALTHAM MA 02451 1 0 0 0 Stock Option (right to buy) 0.32 2016-04-05 5 A 0 100000 0.32 A 2017-04-05 2026-04-05 Stock Option (right to buy) 100000.0 100000 D 25% of these options vest on each of the 4 subsequent anniversaries of the grant date. This Form 5 is being filed late due to a mistake by the Company. Bonnie J. Brown, attorney-in-fact 2017-03-15