0001065949-12-000003.txt : 20120110
0001065949-12-000003.hdr.sgml : 20120110
20120110145558
ACCESSION NUMBER: 0001065949-12-000003
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120101
FILED AS OF DATE: 20120110
DATE AS OF CHANGE: 20120110
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: 12519887
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
2012-01-01
0
0001398805
Envision Solar International, Inc.
EVSI
0001349617
POTTER JAY S
7675 DAGGET
SUITE 150
SAN DIEGO
CA
92111
1
0
0
0
Stock Option
0.23
2012-01-01
4
A
0
200000
0
A
2012-01-01
2021-12-31
Common Stock
200000
1433911
D
Mr. Potter received 200,000 options to purchase the company's common stock for his service as a director of the company. These options will vest on a prorated basis over the 2012 year of service.
/s/ Jay S. Potter
2012-01-10