0001209191-11-059151.txt : 20111202 0001209191-11-059151.hdr.sgml : 20111202 20111202163521 ACCESSION NUMBER: 0001209191-11-059151 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111201 FILED AS OF DATE: 20111202 DATE AS OF CHANGE: 20111202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GRAY DEREK R CENTRAL INDEX KEY: 0001246217 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33710 FILM NUMBER: 111240851 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: 4567 TELEPHONE ROAD STREET 2: SUITE 206 CITY: VENTURA STATE: CA ZIP: 93003 BUSINESS PHONE: 805 639 9458 MAIL ADDRESS: STREET 1: 4567 TELEPHONE ROAD STREET 2: SUITE 206 CITY: VENTURA STATE: CA ZIP: 93003 4 1 c25488_4x0.xml MAIN DOCUMENT DESCRIPTION X0304 4 2011-12-01 0000949428 CLEAN DIESEL TECHNOLOGIES INC CDTI 0001246217 GRAY DEREK R C/O CLEAN DIESEL TECHNOLOGIES, INC. 4567 TELEPHONE ROAD, SUITE 206 VENTURA CA 93003 1 0 0 0 Stock Option (right to buy) 2.97 2011-12-01 4 A 0 5000 0 A 2021-12-01 Common stock 5000 5000 D Vests in twelve equal monthly installments commencing on the date of grant. /s/ Kristi Cushing for Derek R. Gray 2011-12-02