0001628280-16-018251.txt : 20160802 0001628280-16-018251.hdr.sgml : 20160802 20160802104524 ACCESSION NUMBER: 0001628280-16-018251 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160731 FILED AS OF DATE: 20160802 DATE AS OF CHANGE: 20160802 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: LAPOLLA INDUSTRIES INC CENTRAL INDEX KEY: 0000875296 STANDARD INDUSTRIAL CLASSIFICATION: PAINTS, VARNISHES, LACQUERS, ENAMELS & ALLIED PRODUCTS [2851] IRS NUMBER: 133545304 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: INTERCONTINENTAL BUSINESS PARK STREET 2: 15402 VANTAGE PARKWAY EAST, STE. 322 CITY: HOUSTON STATE: TX ZIP: 77032 BUSINESS PHONE: 281-219-4700 MAIL ADDRESS: STREET 1: INTERCONTINENTAL BUSINESS PARK STREET 2: 15402 VANTAGE PARKWAY EAST, STE. 322 CITY: HOUSTON STATE: TX ZIP: 77032 FORMER COMPANY: FORMER CONFORMED NAME: IFT CORP DATE OF NAME CHANGE: 20050103 FORMER COMPANY: FORMER CONFORMED NAME: URECOATS INDUSTRIES INC DATE OF NAME CHANGE: 19990217 FORMER COMPANY: FORMER CONFORMED NAME: NATURAL CHILD CARE INC DATE OF NAME CHANGE: 19931117 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Nadel Jay C CENTRAL INDEX KEY: 0001387021 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31354 FILM NUMBER: 161799352 MAIL ADDRESS: STREET 1: 15402 VANTAGE PARKWAY EAST, SUITE 322 CITY: DEMAREST STATE: NJ ZIP: 07627 4 1 wf-form4_147014911203845.xml FORM 4 X0306 4 2016-07-31 0 0000875296 LAPOLLA INDUSTRIES INC LPAD 0001387021 Nadel Jay C C/O LAPOLLA INDUSTRIES, INC. 15402 VANTAGE PKWY E, #322 HOUSTON TX 77032 1 0 0 1 Vice Chairman Common Stock, PV $.01 2016-07-31 4 A 0 7623 0 A 8713478 D The reported securities were issued pursuant to the anti-dilution provisions in an advisory agreement between the Issuer and reporting person. /s/ For Jay C. Nadel by Michael T. Adams, AS/POA 2016-08-02