0001144204-17-062324.txt : 20171205
0001144204-17-062324.hdr.sgml : 20171205
20171205113821
ACCESSION NUMBER: 0001144204-17-062324
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171201
FILED AS OF DATE: 20171205
DATE AS OF CHANGE: 20171205
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Sulick Peter
CENTRAL INDEX KEY: 0001437777
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35011
FILM NUMBER: 171239020
MAIL ADDRESS:
STREET 1: 3295 FORT CHARLES DRIVE
CITY: NAPLES
STATE: FL
ZIP: 34102
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: DYNASIL CORP OF AMERICA
CENTRAL INDEX KEY: 0000030831
STANDARD INDUSTRIAL CLASSIFICATION: GLASS, GLASSWARE, PRESSED OR BLOWN [3220]
IRS NUMBER: 221734088
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0930
BUSINESS ADDRESS:
STREET 1: 313 WASHINGTON STREET
STREET 2: SUITE 403
CITY: NEWTON
STATE: MA
ZIP: 02458
BUSINESS PHONE: 6176686855
MAIL ADDRESS:
STREET 1: 313 WASHINGTON STREET
STREET 2: SUITE 403
CITY: NEWTON
STATE: MA
ZIP: 02458
4
1
tv480837_form4.xml
FORM 4
X0306
4
2017-12-01
0
0000030831
DYNASIL CORP OF AMERICA
DYSL
0001437777
Sulick Peter
3295 FORT CHARLES DRIVE
NAPLES
FL
34102
1
1
0
0
CEO AND PRESIDENT
COMMON STOCK
2017-12-01
5
G
0
E
96930
0.00
D
1480980
D
COMMON STOCK
2017-12-01
5
G
0
E
96930
0.00
A
174430
I
By Sulick Family trusts
These shares are held in two trusts for the benefit of the reporting person's children and grandchildren. These irrevocable trusts have family members as trustees. Mr. Sulick disclaims beneficial ownership of these securities, and the filing of this report is not an admission that he is the beneficial owner of these securities for purposes of Section 16 or any other purpose.
/s/ Peter Sulick
2017-12-05