0001513162-12-000893.txt : 20121114 0001513162-12-000893.hdr.sgml : 20121114 20121114165050 ACCESSION NUMBER: 0001513162-12-000893 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121112 FILED AS OF DATE: 20121114 DATE AS OF CHANGE: 20121114 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: 121205510 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 100 CITY: VENTURA STATE: CA ZIP: 93003 BUSINESS PHONE: 805 639 9458 MAIL ADDRESS: STREET 1: 4567 TELEPHONE ROAD STREET 2: SUITE 100 CITY: VENTURA STATE: CA ZIP: 93003 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2012-11-12 0 0000949428 CLEAN DIESEL TECHNOLOGIES INC CDTI 0001246217 GRAY DEREK R C/O CLEAN DIESEL TECHNOLOGIES, INC. 4567 TELEPHONE ROAD, SUITE 100 VENTURA CA 93003 1 0 0 0 Stock Option (right to buy) 2.66 2012-11-12 4 A 0 5000 0 A 2022-11-12 Common Stock 5000 5000 D Vests in twelve equal monthly installments commencing on the date of grant. /s/Kristi Cushing for Derek R. Gray 2012-11-14