0001213900-17-008011.txt : 20170728
0001213900-17-008011.hdr.sgml : 20170728
20170728162104
ACCESSION NUMBER: 0001213900-17-008011
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170727
FILED AS OF DATE: 20170728
DATE AS OF CHANGE: 20170728
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: COATES GREGORY G
CENTRAL INDEX KEY: 0001381023
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-33155
FILM NUMBER: 17990263
MAIL ADDRESS:
STREET 1: HIGHWAY 34 AND RIDGEWOOD ROAD
CITY: WALL TOWNSHIP
STATE: NJ
ZIP: 07719
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: COATES INTERNATIONAL LTD \DE\
CENTRAL INDEX KEY: 0000948426
STANDARD INDUSTRIAL CLASSIFICATION: ENGINES & TURBINES [3510]
IRS NUMBER: 222925432
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: HIGHWAY 34 & RIDGEWOOD RD
CITY: WALL TOWNSHIP
STATE: NJ
ZIP: 07719
BUSINESS PHONE: 9084497717
MAIL ADDRESS:
STREET 1: HIGHWAY 34 & RIDGWOOD ROAD
CITY: WALL TOWNSHIP
STATE: NJ
ZIP: 07719
4
1
f4072717gregcoates_coatesint.xml
OWNERSHIP DOCUMENT
X0306
4
2017-07-27
0
0000948426
COATES INTERNATIONAL LTD \DE\
COTE
0001381023
COATES GREGORY G
98 RACQUET ROAD
WALL
NJ
07719
1
1
0
0
Secretary and Pres. Tech. Div.
Series B Convertible Preferred Stock
0
2017-07-27
5
A
0
E
323407
0
A
2019-07-27
Common Stock
323407000
2168289
D
The anti-dilution award to Gregory Coates was determined to be the number of shares of Series B required to maintain his ownership percentage of
common stock at 6.10% of the pro forma number of shares of common stock outstanding, assuming all shares of Series B Convertible Preferred Stock are
converted to common stock. This was his percentage ownership of common stock at December 31, 2002. The number of such shares issued was based
on this program. This anti-dilution program does not apply to exercises of employee stock options and common stock issued pursuant to a secondary
public offering of common stock. 2. There is no expiration date. There is no expiration date.
Each share of Series B entitles the holder to 1,000 votes at any meeting where corporate matters are brought before the shareholders for a vote. The
Series B is restricted, unregistered stock which is not convertible until the second annual anniversary after the date of issue, after which each share is
freely convertible into 1,000 restricted, unregistered shares of common stock. In the event of a sale or change of control of the Corporation, the Series B
shall become immediately convertible.
/s/ Gregory G. Coates
2017-07-28