4//SEC Filing
Adams J. Kevin 4
Accession 0001140361-12-026155
CIK 0001526543other
Filed
May 16, 8:00 PM ET
Accepted
May 17, 5:48 PM ET
Size
7.5 KB
Accession
0001140361-12-026155
Insider Transaction Report
Form 4
Adams J. Kevin
DirectorPresident and CEO10% Owner
Transactions
- Other
Common Stock
2012-05-15+8,443,750→ 24,943,450 total(indirect: By Partnership) - Other
Right to Acquire
2012-05-15−8,443,750→ 0 total(indirect: By Partnership)→ Common Stock (8,443,750 underlying)
Footnotes (1)
- [F1]On May 15, 2012, the Adams Family Limited Partnership closed its derivative security position in 8,443,750 shares by exercising its right to acquire the shares from another shareholder, which was previously reported on Kevin Adams' Form 3. The closing of the derivative security position is exempt from the operation of Section 16(b) of the Securities Exchange Act of 1934 pursuant to Rule 16b-6(b). Sara E. Adams, Kevin Adams' spouse, is the general partner of the Adams Family Limited Partnership. Mr. Adams disclaims beneficial ownership of the 8,443,750 shares.
Documents
Issuer
Green Ballast, Inc.
CIK 0001526543
Entity typeother
Related Parties
1- filerCIK 0001490966
Filing Metadata
- Form type
- 4
- Filed
- May 16, 8:00 PM ET
- Accepted
- May 17, 5:48 PM ET
- Size
- 7.5 KB