0001104659-20-064275.txt : 20200520
0001104659-20-064275.hdr.sgml : 20200520
20200520163014
ACCESSION NUMBER: 0001104659-20-064275
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200518
FILED AS OF DATE: 20200520
DATE AS OF CHANGE: 20200520
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BELL LON E
CENTRAL INDEX KEY: 0000941593
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35521
FILM NUMBER: 20898476
MAIL ADDRESS:
STREET 1: C/O AMERIGON INC
STREET 2: 5462 IRWINDALE AVENUE
CITY: IRWINDALE
STATE: CA
ZIP: 91706
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ClearSign Technologies Corp
CENTRAL INDEX KEY: 0001434524
STANDARD INDUSTRIAL CLASSIFICATION: INDUSTRIAL INSTRUMENTS FOR MEASUREMENT, DISPLAY, AND CONTROL [3823]
IRS NUMBER: 000000000
STATE OF INCORPORATION: WA
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 12870 INTERURBAN AVENUE SOUTH
CITY: SEATTLE
STATE: WA
ZIP: 98168
BUSINESS PHONE: (206) 673-4848
MAIL ADDRESS:
STREET 1: 12870 INTERURBAN AVENUE SOUTH
CITY: SEATTLE
STATE: WA
ZIP: 98168
FORMER COMPANY:
FORMER CONFORMED NAME: CLEARSIGN COMBUSTION CORP
DATE OF NAME CHANGE: 20080507
4
1
tm2020299d1_4.xml
OWNERSHIP DOCUMENT
X0306
4
2020-05-18
0
0001434524
ClearSign Technologies Corp
CLIR
0000941593
BELL LON E
12870 INTERURBAN AVENUE SOUTH
SEATTLE
WA
98168
1
0
0
0
Option to Purchase Common Stock
0.54
2020-05-18
4
A
0
17000
0.00
A
2020-05-18
2030-05-18
Common Stock
17000
17000
D
Option to Purchase Common Stock
0.72
2020-04-01
2030-04-01
Common Stock
17000
17000
D
Option to Purchase Common Stock
1.00
2029-04-01
Common Stock
68000
68000
D
On May 18, 2020 the Compensation Committee of the Issuer's board of directors, in accordance with a compensation policy approved by the board of directors, approved compensation to be paid to the Issuer's non-executive directors for services provided and to be provided to the Issuer during the period from April 1, 2020 to June 30, 2020. The reporting person is a non-executive director. As compensation for their services, each non- executive director was awarded options for shares of common stock having an exercise price of $0.54. The total number of option shares awarded was based on the services provided by the director. These services include Board participation, committee participation, committee chair responsibilities and lead director responsibilities, if any. The award was issued from the Issuer's 2011 Equity Incentive Plan.
The right to exercise the option and purchase the option shares vested in equal increments as follows: the right to purchase 17,000 shares vested on May 9, 2019 and the right to purchase the remaining 51,000 shares vested in equal increments on the last day of each calendar quarter during 2019.
/s/ Lon E. Bell
2020-05-20