0001104659-20-098674.txt : 20200826 0001104659-20-098674.hdr.sgml : 20200826 20200826160121 ACCESSION NUMBER: 0001104659-20-098674 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200824 FILED AS OF DATE: 20200826 DATE AS OF CHANGE: 20200826 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: 201137213 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 tm2029421d1_4.xml OWNERSHIP DOCUMENT X0306 4 2020-08-24 0 0001434524 ClearSign Technologies Corp CLIR 0001765385 Pate Bruce Alan 12870 INTERURBAN AVENUE SOUTH SEATTLE WA 98168 1 0 0 0 Common Stock/CLIR 2020-08-24 4 P 0 35000 2.00 A 105000 I Pate Capital Partners LP Common Stock/CLIR 100000 I Pate Family Trust /s/ Bruce A. Pate 2020-08-26