0001144204-17-009083.txt : 20170214 0001144204-17-009083.hdr.sgml : 20170214 20170214175411 ACCESSION NUMBER: 0001144204-17-009083 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170210 FILED AS OF DATE: 20170214 DATE AS OF CHANGE: 20170214 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CLEARSIGN COMBUSTION CORP CENTRAL INDEX KEY: 0001434524 STANDARD INDUSTRIAL CLASSIFICATION: INDUSTRIAL INSTRUMENTS FOR MEASUREMENT, DISPLAY, AND CONTROL [3823] IRS NUMBER: 000000000 STATE OF INCORPORATION: WA 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PIRNAT STEPHEN E CENTRAL INDEX KEY: 0001547961 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35521 FILM NUMBER: 17611526 MAIL ADDRESS: STREET 1: 4728 EAST 98TH STREET CITY: TULSA STATE: OK ZIP: 74137 4 1 v459438_4.xml OWNERSHIP DOCUMENT X0306 4 2017-02-10 0 0001434524 CLEARSIGN COMBUSTION CORP CLIR 0001547961 PIRNAT STEPHEN E 12870 INTERURBAN AVENUE SOUTH SEATTLE WA 98168 1 1 0 0 Chief Executive Officer Common Stock/CLIR 2017-02-10 4 A 0 52778 A 102947 D On February 10, 2017, the reporting person was granted 52,778 shares of common stock, having a per share value of $3.60, the closing price of the Issuer's common stock on the date of grant, from the Company's 2011 Equity Incentive Plan as payment of a bonus approved by the Issuer's Compensation Committee. The Company has the right to repurchase the shares at a price of $0.0001 per share upon the termination of the reporting person's employment or other circumstances designated in the award agreement. The repurchase right expires on February 10, 2018. /s/ Stephen E. Pirnat 2017-02-14