0001161697-16-001044.txt : 20160815 0001161697-16-001044.hdr.sgml : 20160815 20160815164313 ACCESSION NUMBER: 0001161697-16-001044 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160812 FILED AS OF DATE: 20160815 DATE AS OF CHANGE: 20160815 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: VISUALANT INC CENTRAL INDEX KEY: 0001074828 STANDARD INDUSTRIAL CLASSIFICATION: MEASURING & CONTROLLING DEVICES, NEC [3829] IRS NUMBER: 911948357 STATE OF INCORPORATION: NV FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 500 UNION STREET STREET 2: SUITE 420 CITY: SEATTLE STATE: WA ZIP: 98101 BUSINESS PHONE: 206-903-1351 MAIL ADDRESS: STREET 1: 500 UNION STREET STREET 2: SUITE 420 CITY: SEATTLE STATE: WA ZIP: 98101 FORMER COMPANY: FORMER CONFORMED NAME: Visualant, INC DATE OF NAME CHANGE: 20050106 FORMER COMPANY: FORMER CONFORMED NAME: STARBERRYS CORP DATE OF NAME CHANGE: 20020918 FORMER COMPANY: FORMER CONFORMED NAME: CIGAR KING CORP DATE OF NAME CHANGE: 19990127 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCOTT MARK E CENTRAL INDEX KEY: 0001197104 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37479 FILM NUMBER: 161833419 MAIL ADDRESS: STREET 1: C/O VISUALANT INC STREET 2: 500 UNION STREET, SUITE 420 CITY: SEATTLE STATE: WA ZIP: 98101 4 1 form_4.xml FORM 4 FOR 08-12-2016 X0306 4 2016-08-12 0 0001074828 VISUALANT INC VSUL 0001197104 SCOTT MARK E C/O VISUALANT, INC. 500 UNION STREET, SUITE 420 SEATTLE WA 98101 0 1 0 0 Chief Financial Officer Common Stock 11791 D Option to Purchase Common Stock 19.50 2016-08-12 4 J 0 5668 0 D 2022-06-08 Common Stock 5668 0 D Forfeiture of Option shares. Option shares fully-vested quarterly over 1 year commencing 06/08/2012. /s/ Mark E. Scott 2016-08-12