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