0001104659-16-124290.txt : 20160531 0001104659-16-124290.hdr.sgml : 20160531 20160531113751 ACCESSION NUMBER: 0001104659-16-124290 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160411 FILED AS OF DATE: 20160531 DATE AS OF CHANGE: 20160531 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CLEAN DIESEL TECHNOLOGIES INC CENTRAL INDEX KEY: 0000949428 STANDARD INDUSTRIAL CLASSIFICATION: INDUSTRIAL & COMMERCIAL FANS & BLOWERS & AIR PURIFYING EQUIP [3564] IRS NUMBER: 061393453 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1621 FISKE PLACE CITY: OXNARD STATE: CA ZIP: 93033 BUSINESS PHONE: 805 639 9465 MAIL ADDRESS: STREET 1: 1621 FISKE PLACE CITY: OXNARD STATE: CA ZIP: 93033 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: 001-33710 FILM NUMBER: 161684491 MAIL ADDRESS: STREET 1: C/O AMERIGON INC STREET 2: 5462 IRWINDALE AVENUE CITY: IRWINDALE STATE: CA ZIP: 91706 4 1 a4.xml 4 X0306 4 2016-04-11 0 0000949428 CLEAN DIESEL TECHNOLOGIES INC CDTI 0000941593 BELL LON E C/O CLEAN DIESEL TECHNOLOGIES, INC. 1621 FISKE PLACE OXNARD CA 93033 1 0 0 0 Convertible Promissory Note 0.71 2016-04-11 4 P 0 500000 500000 A 2016-04-11 2017-09-30 Common Stock 704225 500000 D /s/ David E. Shea, Attorney-In-Fact 2016-05-27