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