0001104659-20-043276.txt : 20200403
0001104659-20-043276.hdr.sgml : 20200403
20200403183216
ACCESSION NUMBER: 0001104659-20-043276
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200401
FILED AS OF DATE: 20200403
DATE AS OF CHANGE: 20200403
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Pate Bruce Alan
CENTRAL INDEX KEY: 0001765385
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35521
FILM NUMBER: 20775282
MAIL ADDRESS:
STREET 1: 23235 WALLING RD.
CITY: GEYSERVILLE
STATE: CA
ZIP: 95441
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ClearSign Technologies Corp
CENTRAL INDEX KEY: 0001434524
STANDARD INDUSTRIAL CLASSIFICATION: INDUSTRIAL INSTRUMENTS FOR MEASUREMENT, DISPLAY, AND CONTROL [3823]
IRS NUMBER: 000000000
STATE OF INCORPORATION: WA
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 12870 INTERURBAN AVENUE SOUTH
CITY: SEATTLE
STATE: WA
ZIP: 98168
BUSINESS PHONE: (206) 673-4848
MAIL ADDRESS:
STREET 1: 12870 INTERURBAN AVENUE SOUTH
CITY: SEATTLE
STATE: WA
ZIP: 98168
FORMER COMPANY:
FORMER CONFORMED NAME: CLEARSIGN COMBUSTION CORP
DATE OF NAME CHANGE: 20080507
4
1
tm2014958-1_4.xml
OWNERSHIP DOCUMENT
X0306
4
2020-04-01
0
0001434524
ClearSign Technologies Corp
CLIR
0001765385
Pate Bruce Alan
12870 INTERURBAN AVENUE SOUTH
SEATTLE
WA
98168
1
0
0
0
Option to Purchase Common Stock
0.72
2020-04-01
4
A
0
19750
0.00
A
2020-04-01
2030-04-01
Common Stock
19750
19750
D
Option to Purchase Common Stock
1.00
2029-04-01
Common Stock
70500
70500
D
On April 1, 2020 the Issuer's board of directors approved compensation to be paid to the Issuer's non-executive directors for services provided to the Issuer during the period from January 1, 2020 to March 31, 2020. The reporting person is a non-executive director. As compensation for their services, each non-executive director was awarded options for shares of common stock having an exercise price of $0.72. The total number of option shares awarded was based on the services provided by the director. These services include Board participation, committee participation, committee chair responsibilities and lead director responsibilities, if any. The option was issued from the Issuer's 2011 Equity Incentive Plan. The right to exercise the option and purchase the option shares vested on the date of award.
The right to exercise the option and purchase the option shares vested in equal increments as follows: the right to purchase 17,625 shares vested on May 9, 2019 and the right to purchase the remaining 52,875 shares vested in equal increments on the last day of each calendar quarter during 2019.
/s/ Bruce A Pate
2020-04-03