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