0001683168-21-003973.txt : 20210827 0001683168-21-003973.hdr.sgml : 20210827 20210827215024 ACCESSION NUMBER: 0001683168-21-003973 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210826 FILED AS OF DATE: 20210827 DATE AS OF CHANGE: 20210827 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fields Ephraim G CENTRAL INDEX KEY: 0001510865 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-54114 FILM NUMBER: 211220744 MAIL ADDRESS: STREET 1: 265 EAST 66TH STREET STREET 2: #41A CITY: NEW YORK STATE: NY ZIP: 10065 FORMER NAME: FORMER CONFORMED NAME: Fields ephraim DATE OF NAME CHANGE: 20110121 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Optex Systems Holdings Inc CENTRAL INDEX KEY: 0001397016 STANDARD INDUSTRIAL CLASSIFICATION: OPTICAL INSTRUMENTS & LENSES [3827] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1003 BUSINESS ADDRESS: STREET 1: 1420 PRESIDENTIAL DRIVE CITY: RICHARDSON STATE: TX ZIP: 75081 BUSINESS PHONE: 972-764-5700 MAIL ADDRESS: STREET 1: 1420 PRESIDENTIAL DRIVE CITY: RICHARDSON STATE: TX ZIP: 75081 FORMER COMPANY: FORMER CONFORMED NAME: Sustut Exploration Inc DATE OF NAME CHANGE: 20070419 4 1 ownership.xml X0306 4 2021-08-26 0 0001397016 Optex Systems Holdings Inc OPXS 0001510865 Fields Ephraim G 265 EAST 66TH STREET #42E NEW YORK NY 10065 0 0 1 0 Common Stock 2021-08-26 4 P 0 24000 1.46 D 1154399 D /s/ Ephraim Fields 2021-08-27