0001104659-20-064281.txt : 20200520
0001104659-20-064281.hdr.sgml : 20200520
20200520163042
ACCESSION NUMBER: 0001104659-20-064281
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200518
FILED AS OF DATE: 20200520
DATE AS OF CHANGE: 20200520
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Meline Susanne
CENTRAL INDEX KEY: 0001731684
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35521
FILM NUMBER: 20898491
MAIL ADDRESS:
STREET 1: P.O. BOX 515381
STREET 2: #86506
CITY: LOS ANGELES
STATE: CA
ZIP: 90051
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
tm2020299d3_4.xml
OWNERSHIP DOCUMENT
X0306
4
2020-05-18
0
0001434524
ClearSign Technologies Corp
CLIR
0001731684
Meline Susanne
12870 INTERURBAN AVENUE SOUTH
SEATTLE
WA
98168
1
0
0
0
Option to Purchase Common Stock
0.54
2020-05-18
4
A
0
22750
0.00
A
2020-05-18
2030-05-18
Common Stock
22750
22750
D
Option to Purchase Common Stock
0.72
2020-04-01
2030-04-01
Common Stock
22750
22750
D
Option to Purchase Common Stock
1.00
2029-04-01
Common Stock
91000
91000
D
On May 18, 2020 the Compensation Committee of the Issuer's board of directors, in accordance with a compensation policy approved by the board of directors, approved compensation to be paid to the Issuer's non-executive directors for services provided and to be provided to the Issuer during the period from April 1, 2020 to June 30, 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 $0.54. 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 award was issued from the Issuer's 2011 Equity Incentive Plan.
The right to exercise the option and purchase the option shares vested in equal increments as follows: the right to purchase 22,750 shares vested on May 9, 2019 and the right to purchase the remaining 68,250 shares vested in equal increments on the last day of each calendar quarter during 2019.
/s/ Susanne Meline
2020-05-20