0001536033-12-000001.txt : 20121022
0001536033-12-000001.hdr.sgml : 20121022
20121022140212
ACCESSION NUMBER: 0001536033-12-000001
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121018
FILED AS OF DATE: 20121022
DATE AS OF CHANGE: 20121022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hanan Rubin
CENTRAL INDEX KEY: 0001536033
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-22991
FILM NUMBER: 121154344
MAIL ADDRESS:
STREET 1: DOUBLE EAGLE HOLDINGS LTD
STREET 2: 20900 NE 30TH AVENUE
CITY: AVENTURA
STATE: FL
ZIP: 33180
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Fuse Science, Inc.
CENTRAL INDEX KEY: 0000842722
STANDARD INDUSTRIAL CLASSIFICATION: INVESTORS, NEC [6799]
IRS NUMBER: 870460247
STATE OF INCORPORATION: NV
FISCAL YEAR END: 0930
BUSINESS ADDRESS:
STREET 1: 6135 NW 167TH STREET
STREET 2: #E21
CITY: MIAMI
STATE: FL
ZIP: 33015
BUSINESS PHONE: 305-503-3873
MAIL ADDRESS:
STREET 1: 6135 NW 167TH STREET
STREET 2: #E21
CITY: MIAMI
STATE: FL
ZIP: 33015
FORMER COMPANY:
FORMER CONFORMED NAME: Double Eagle Holdings, Ltd.
DATE OF NAME CHANGE: 20070123
FORMER COMPANY:
FORMER CONFORMED NAME: ONSPAN NETWORKING INC
DATE OF NAME CHANGE: 20010214
FORMER COMPANY:
FORMER CONFORMED NAME: NETWORK SYSTEMS INTERNATIONAL INC
DATE OF NAME CHANGE: 19960516
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2012-10-18
0
0000842722
Fuse Science, Inc.
DROP
0001536033
Hanan Rubin
C/O FUSE SCIENCE, INC.
6135 NW 167TH STREET
MIAMI LAKES
FL
33015
1
1
0
0
President and COO
Options to Purchase Common Stock
0.12
2012-10-19
4
A
0
1225000
0
A
2017-10-19
Common Stock
1225000
5725000
D
Options to Purchase Common Stock
0.21
2012-10-19
4
A
0
525000
0
A
2017-10-19
Common Stock
525000
6250000
D
Options vest in quarterly installments over a two (2) year period from the grant date (subject to acceleration in the event of a merger, asset sale, or other "change in control" as defined in the 2011 Incentive Stock Plan), contingent on continued employment.
Includes stock options previously issued pursuant to the 2011 Incentive Stock Plan to purchase 4,500,000 shares of common stock at $0.445 per share.
Options were issued pursuant to the 2011 Incentive Stock Plan.
Options vest in quarterly installments over a two (2) year period from the grant date (subject to acceleration in the event of a merger, asset sale or other "change in control" as defined in the 2011 Incentive Stock Plan), contingent on continued employment and the approval by Fuse's board of directors and shareholders of an amendment to the 2011 Incentive Stock Plan increasing the number of shares of common stock reserved thereunder for issuance by at least 3,000,000 shares.
/s/Rubin Hanan
2012-10-22