0001209191-17-064857.txt : 20171208 0001209191-17-064857.hdr.sgml : 20171208 20171208185002 ACCESSION NUMBER: 0001209191-17-064857 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171207 FILED AS OF DATE: 20171208 DATE AS OF CHANGE: 20171208 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Chase Jerry D CENTRAL INDEX KEY: 0001302830 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27687 FILM NUMBER: 171248100 MAIL ADDRESS: STREET 1: C/O BSQUARE CORPORATION STREET 2: 110 - 110TH AVENUE, NE, SUITE 300 CITY: BELLEVUE STATE: WA ZIP: 98004 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BSQUARE CORP /WA CENTRAL INDEX KEY: 0001054721 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 911650880 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 110 110TH AVENUE NE, SUITE 300 CITY: BELLEVUE STATE: WA ZIP: 98004 BUSINESS PHONE: 4255195900 MAIL ADDRESS: STREET 1: 110 110TH AVENUE NE, SUITE 300 CITY: BELLEVUE STATE: WA ZIP: 98004 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-12-07 0 0001054721 BSQUARE CORP /WA BSQR 0001302830 Chase Jerry D 909 111TH AVENUE, NE APT. 1208 BELLEVUE WA 98004 1 1 0 0 President & CEO Common Stock 2017-12-07 4 P 0 6000 4.4387 A 104389 D /s/ Jerry D. Chase 2017-12-08