0001493152-20-002991.txt : 20200226 0001493152-20-002991.hdr.sgml : 20200226 20200226145915 ACCESSION NUMBER: 0001493152-20-002991 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200224 FILED AS OF DATE: 20200226 DATE AS OF CHANGE: 20200226 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lunsford John Todd CENTRAL INDEX KEY: 0001802201 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11602 FILM NUMBER: 20655217 MAIL ADDRESS: STREET 1: 4971 CHERRY BLOSSOM CIRCLE CITY: WEST BLOOMFIELD STATE: MI ZIP: 48324 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PEN INC. CENTRAL INDEX KEY: 0000891417 STANDARD INDUSTRIAL CLASSIFICATION: COATING, ENGRAVING & ALLIED SERVICES [3470] IRS NUMBER: 760273345 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 701 BRICKELL AVENUE STREET 2: SUITE 1550 CITY: MIAMI STATE: FL ZIP: 33131 BUSINESS PHONE: 844-273-6462 MAIL ADDRESS: STREET 1: 701 BRICKELL AVENUE STREET 2: SUITE 1550 CITY: MIAMI STATE: FL ZIP: 33131 FORMER COMPANY: FORMER CONFORMED NAME: Applied Nanotech Holdings, Inc DATE OF NAME CHANGE: 20080717 FORMER COMPANY: FORMER CONFORMED NAME: NANO PROPRIETARY INC DATE OF NAME CHANGE: 20071105 FORMER COMPANY: FORMER CONFORMED NAME: NANO PROPRIETARY INC DATE OF NAME CHANGE: 20030702 4 1 ownership.xml X0306 4 2020-02-24 0 0000891417 PEN INC. PENC 0001802201 Lunsford John Todd 750 DENISON COURT BLOOMFIELD HILLS MI 48302 1 0 0 0 Class A Common Stock 2020-02-24 4 P 0 36764 0.65 A 40272 I See Footnote Warrant 1.50 2020-02-24 4 P 0 36763 0.03 A 2020-02-24 2024-02-24 Class A common stock 36763 36763 I See Footnote Shares acquired indirectly and derivative securities acquired indirectly were acquired by the purchase of an interest in an investing entity that acquired the issuer's securities in a private placement. /s/ John Todd Lunsford 2020-02-26