0001181431-11-047079.txt : 20110826 0001181431-11-047079.hdr.sgml : 20110826 20110826092548 ACCESSION NUMBER: 0001181431-11-047079 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110824 FILED AS OF DATE: 20110826 DATE AS OF CHANGE: 20110826 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MAZZORIN CARLOS E CENTRAL INDEX KEY: 0001190352 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-21810 FILM NUMBER: 111058052 MAIL ADDRESS: STREET 1: FORD MOTOR COMPANY STREET 2: ONE AMERICAN RD CITY: DEARBORN STATE: MI ZIP: 48126 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMERIGON INC CENTRAL INDEX KEY: 0000903129 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLE PARTS & ACCESSORIES [3714] IRS NUMBER: 954318554 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 21680 HAGGERTY ROAD CITY: NORTHVILLE STATE: MI ZIP: 48167-8994 BUSINESS PHONE: 248-504-0500 MAIL ADDRESS: STREET 1: 21680 HAGGERTY ROAD CITY: NORTHVILLE STATE: MI ZIP: 48167-8994 4 1 rrd320736.xml BOARD ISSUE X0304 4 2011-08-24 0 0000903129 AMERIGON INC ARGN 0001190352 MAZZORIN CARLOS E 21680 HAGGERTY ROAD, SUITE 101 NORTHVILLE MI 48167 1 0 0 0 Option to Purchase Common Stock 12.96 2011-08-24 2011-08-24 4 A 0 10000 0 A 2012-08-24 2021-08-24 Common Stock 10000 10000 D /s/ Carlos Mazzorin 2011-08-26