4//SEC Filing
Adams J. Kevin 4
Accession 0001140361-12-044386
CIK 0001526543other
Filed
Oct 21, 8:00 PM ET
Accepted
Oct 22, 5:24 PM ET
Size
5.3 KB
Accession
0001140361-12-044386
Insider Transaction Report
Form 4
Adams J. Kevin
DirectorPresident and CEO10% Owner
Transactions
- Other
Common Stock
2012-10-16−334,000→ 24,609,450 total(indirect: By Partnership)
Footnotes (1)
- [F1]On October 16, 2012, the Adams Family Limited Partnership (the "Family LP"), the reporting person and the issuer entered into a Stock Surrender Agreement dated October 16, 2012 pursuant to which the Family LP surrendered 334,000 shares of common stock to the issuer. The Stock Surrender Agreement and the surrendering of shares by the Family LP were a condition to the initial closing of the issuer's private offering of notes and common stock on October 16, 2012.
Documents
Issuer
Green Ballast, Inc.
CIK 0001526543
Entity typeother
Related Parties
1- filerCIK 0001490966
Filing Metadata
- Form type
- 4
- Filed
- Oct 21, 8:00 PM ET
- Accepted
- Oct 22, 5:24 PM ET
- Size
- 5.3 KB