Adams J. Kevin 4
4 · Green Ballast, Inc. · Filed May 17, 2012
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.