0001628280-17-009854.txt : 20171011 0001628280-17-009854.hdr.sgml : 20171011 20171011182946 ACCESSION NUMBER: 0001628280-17-009854 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171011 FILED AS OF DATE: 20171011 DATE AS OF CHANGE: 20171011 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KURTZ RICHARD CENTRAL INDEX KEY: 0001168337 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31354 FILM NUMBER: 171133478 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 4 1 wf-form4_150776097274005.xml FORM 4 X0306 4 2017-10-11 0 0000875296 LAPOLLA INDUSTRIES INC LPAD 0001168337 KURTZ RICHARD C/O LAPOLLA INDUSTRIES, INC. 15402 VANTAGE PKWY E, #322 HOUSTON TX 77032 1 0 1 1 Chairman of the Board Common Stock, PV $.01 2017-10-11 4 J 0 312500 0 A 71452101 D On July 23, 2014, the Reporting Person agreed to transfer 312,500 shares of Common Stock in a private transaction in exchange for the provision of services. The transaction was rescinded on October 11, 2017 when the other party failed to perform the services agreed to between the parties. /s/ For Richard J. Kurtz by Michael T. Adams, AS/POA 2017-10-11