|4Oct 22, 5:20 PM ET

Brown Daniel L. 4

4 · Green Ballast, Inc. · Filed Oct 22, 2012

Insider Transaction Report

Form 4
Period: 2012-10-16
Brown Daniel L.
DirectorCOO and Exec. VP10% Owner
Transactions
  • Other

    Common Stock

    2012-10-16333,0003,509,150 total
Holdings
  • Common Stock

    (indirect: By Partnership)
    11,625,450
Footnotes (1)
  • [F1]On October 16, 2012, the reporting person and the issuer entered into a Stock Surrender Agreement dated October 16, 2012 pursuant to which the reporting person surrendered 333,000 shares of common stock to the issuer. The Stock Surrender Agreement and the surrendering of shares by the reporting person were a condition to the initial closing of the issuer's private offering of notes and common stock on October 16, 2012.

Documents

1 file
  • 4
    doc1.xmlPrimary

    FORM 4