0001526543-11-000001.txt : 20110728 0001526543-11-000001.hdr.sgml : 20110728 20110728151202 ACCESSION NUMBER: 0001526543-11-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20110728 DATE AS OF CHANGE: 20110728 EFFECTIVENESS DATE: 20110728 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Green Ballast, Inc. CENTRAL INDEX KEY: 0001526543 IRS NUMBER: 451629984 STATE OF INCORPORATION: DE FISCAL YEAR END: 1211 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-163610 FILM NUMBER: 11993322 BUSINESS ADDRESS: STREET 1: 2620 THOUSAND OAKS STREET 2: SUITE 4000 CITY: MEMPHIS STATE: TN ZIP: 38118 BUSINESS PHONE: 901-260-4400 MAIL ADDRESS: STREET 1: 2620 THOUSAND OAKS STREET 2: SUITE 4000 CITY: MEMPHIS STATE: TN ZIP: 38118 D 1 primary_doc.xml X0704 D LIVE 0001526543 Green Ballast, Inc. 2620 THOUSAND OAKS SUITE 4000 MEMPHIS TN TENNESSEE 38118 901-260-4400 DELAWARE None None Corporation true 2011 J. Kevin Adams 2620 Thousand Oaks Suite 4000 Memphis TN TENNESSEE 38118 Executive Officer Director Promoter Daniel Brown 2620 Thousand Oaks Suite 4000 Memphis TN TENNESSEE 38118 Executive Officer Director Promoter William Bethell 2620 Thousand Oaks Suite 4000 Memphis TN TENNESSEE 38118 Executive Officer Director Promoter Kevin Clarkson 2620 Thousand Oaks Suite 4000 Memphis TN TENNESSEE 38118 Executive Officer Director Promoter Mary Sharp 2620 Thousand Oaks Suite 4000 Memphis TN TENNESSEE 38118 Director John Lamberson, Jr. 2620 Thousand Oaks Suite 4000 Memphis TN TENNESSEE 38118 Director Peter Weisman 2620 Thousand Oaks Suite 4000 Memphis TN TENNESSEE 38118 Director Other Decline to Disclose 06 false true false true false 1000 3000000 0 3000000 false 0 0 0 0 false Green Ballast, Inc. William H. Bethell William H. Bethell Chief Financial Officer 2011-07-28