SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
JANKOWSKI JESS

(Last) (First) (Middle)
1319 MARQUETTE DRIVE

(Street)
ROMEOVILLE IL 60446

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
NANOPHASE TECHNOLOGIES Corp [ NANX ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
President, CEO
3. Date of Earliest Transaction (Month/Day/Year)
05/22/2019
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 1,000 I Spouse's IRA
Common Stock 59,000 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Common Stock (right to purchase) $1.02 05/04/2010(1) 05/04/2019 Common Stock 30,000 30,000 D
Common Stock (right to purchase) $1.7 05/03/2011(1) 05/03/2020 Common Stock 27,000 27,000 D
Common Stock (right to purchase) $1.26 05/02/2012(1) 05/02/2021 Common Stock 85,000 85,000 D
Common Stock (right to purchase) $0.3 08/07/2013(1) 08/07/2022 Common Stock 98,000 98,000 D
Common Stock (right to purchase) $0.415 02/14/2014(1) 02/14/2023 Common Stock 90,000 90,000 D
Common Stock (right to purchase) $0.52 02/13/2015(2) 02/13/2024 Common Stock 90,000 90,000 D
Common Stock (right to purchase) $0.44 02/18/2016(3) 02/18/2025 Common Stock 81,000 81,000 D
Common Stock (right to purchase) $0.42 02/23/2017(3) 02/23/2026 Common Stock 69,000 69,000 D
Common Stock (right to purchase) $0.68 02/21/2018(3) 02/21/2027 Common Stock 81,000 81,000 D
Common Stock (right to purchase) $0.82 05/23/2019(1) 05/23/2028 Common Stock 90,000 90,000 D
Common Stock (right to purchase) $0.51 05/22/2019 A 16,500 05/22/2020(2) 05/22/2029 Common Stock 16,500 $0.51 16,500 D
Explanation of Responses:
1. Subject to certain restrictions, beginning on this date, options vest in three equal annual installments.
2. Subject to certain restrictions, beginning on this date, options vest in three equal installments.
3. Subject to certain restrictions, beginning on this date, the options vest in three equal annual installments.
Remarks:
Jess A. Jankowski 05/30/2019
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.