0001140361-12-020056.txt : 20120411
0001140361-12-020056.hdr.sgml : 20120411
20120411122936
ACCESSION NUMBER: 0001140361-12-020056
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110328
FILED AS OF DATE: 20120411
DATE AS OF CHANGE: 20120411
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FELDMAN DAVID J
CENTRAL INDEX KEY: 0001261008
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-05558
FILM NUMBER: 12753695
MAIL ADDRESS:
STREET 1: 305 ROCK INDUSTRIAL PARK DRIVE
CITY: BRIDGETON
STATE: MO
ZIP: 63044
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: KATY INDUSTRIES INC
CENTRAL INDEX KEY: 0000054681
STANDARD INDUSTRIAL CLASSIFICATION: SPECIAL INDUSTRY MACHINERY, NEC [3559]
IRS NUMBER: 751277589
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 305 ROCK INDUSTRIAL PARK DRIVE
CITY: BRIDGETON
STATE: MO
ZIP: 63044
BUSINESS PHONE: 3146564321
MAIL ADDRESS:
STREET 1: 305 ROCK INDUSTRIAL PARK DRIVE
CITY: BRIDGETON
STATE: MO
ZIP: 63044
4
1
doc1.xml
FORM 4
X0305
4
2011-03-28
0
0000054681
KATY INDUSTRIES INC
KATY.OB
0001261008
FELDMAN DAVID J
305 ROCK INDUSTRIAL PARK DRIVE
BRIDGETON
MO
63044
1
1
0
0
President and CEO
Option to purchase Common Stock
1.2
2011-03-28
4
D
0
750000
D
2009-04-21
2018-04-21
Common Stock
750000
0
D
Stock options were cancelled by mutual agreement of the reporting person and Katy Industries, Inc. The reporting person became a participant in the Katy Industries, Inc. 2011 Change in Control Plan ("2011 CIC Plan") as consideration for the cancellation.
James W. Shaffer as attorney-in-fact for David J. Feldman
2012-04-11