0001065949-11-000139.txt : 20110817
0001065949-11-000139.hdr.sgml : 20110817
20110817102239
ACCESSION NUMBER: 0001065949-11-000139
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20080101
FILED AS OF DATE: 20110817
DATE AS OF CHANGE: 20110817
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: POTTER JAY S
CENTRAL INDEX KEY: 0001349617
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-53204
FILM NUMBER: 111041565
MAIL ADDRESS:
STREET 1: 10509 VISTA SORRENTO PKWY
STREET 2: SUITE 300
CITY: SAN DIEGO
STATE: CA
ZIP: 92121
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Envision Solar International, Inc.
CENTRAL INDEX KEY: 0001398805
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-ENGINEERING SERVICES [8711]
IRS NUMBER: 208457250
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 7675 DAGGET STREET
STREET 2: SUITE 150
CITY: SAN DIEGO
STATE: CA
ZIP: 92111
BUSINESS PHONE: 858-799-4583
MAIL ADDRESS:
STREET 1: 7675 DAGGET STREET
STREET 2: SUITE 150
CITY: SAN DIEGO
STATE: CA
ZIP: 92111
FORMER COMPANY:
FORMER CONFORMED NAME: Casita Enterprises, Inc.
DATE OF NAME CHANGE: 20070508
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0304
4
2008-01-01
0
0001398805
Envision Solar International, Inc.
EVSI
0001349617
POTTER JAY S
7675 DAGGET STREET
SUITE 150
SAN DIEGO
CA
92111
1
0
0
0
Stock Options
0.27
2011-08-10
4
A
0
200000
0
A
2011-08-10
2021-08-09
Common Stock
200000
991167
D
Warrants
0.25
2011-08-10
4
A
0
600000
0
A
2011-08-10
2016-08-09
Common Stock
600000
1591167
D
Warrants
0.4
2011-05-05
4
A
0
382143
0
A
2011-05-05
2016-05-04
Common Stock
382143
1973310
D
Warrants
1.31
2008-01-01
4
A
0
51768
0
A
2008-01-01
2012-12-31
Common Stock
51768
2025078
D
Warrants issued to Fulcrum Enterprises, Inc. for which Mr. Potter is beneficial owner.
Warrants issued to Mr. Potter for capital raising services provided via an independent broker dealer.
Amount includes 791,167 shares of common stock owned directly.
/s/ Jay S. Potter
2011-08-17