0001144204-17-009076.txt : 20170214
0001144204-17-009076.hdr.sgml : 20170214
20170214175225
ACCESSION NUMBER: 0001144204-17-009076
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170210
FILED AS OF DATE: 20170214
DATE AS OF CHANGE: 20170214
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CLEARSIGN COMBUSTION CORP
CENTRAL INDEX KEY: 0001434524
STANDARD INDUSTRIAL CLASSIFICATION: INDUSTRIAL INSTRUMENTS FOR MEASUREMENT, DISPLAY, AND CONTROL [3823]
IRS NUMBER: 000000000
STATE OF INCORPORATION: WA
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
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: 17611474
MAIL ADDRESS:
STREET 1: C/O AMERIGON INC
STREET 2: 5462 IRWINDALE AVENUE
CITY: IRWINDALE
STATE: CA
ZIP: 91706
4
1
v459429_4.xml
OWNERSHIP DOCUMENT
X0306
4
2017-02-10
0
0001434524
CLEARSIGN COMBUSTION CORP
CLIR
0000941593
BELL LON E
12870 INTERURBAN AVENUE SOUTH
SEATTLE
WA
98168
1
0
0
0
Common Stock/CLIR
2017-02-10
4
A
0
27778
A
243472
D
On February 10, 2017, the Issuer's Compensation Committee approved annual compensation for the Issuer's independent directors. The reporting person is an independent director. As full compensation for services provided to the Issuer during 2017, each independent director was granted 27,778 shares of common stock, having a per share value of $3.60, the closing price of the Issuer's common stock on the date of grant. The Company has the right torepurchase the shares at a price of $0.0001 per share upon the termination of the reporting person's services as a director or other circumstances designated in the award agreement. The repurchase right expires on February 10, 2018. The shares will be issued from the Issuer's 2011 Equity Compensation Plan.
/s/ Lon E. Bell
2017-02-14