0001166380-15-000092.txt : 20150821 0001166380-15-000092.hdr.sgml : 20150821 20150821161621 ACCESSION NUMBER: 0001166380-15-000092 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150819 FILED AS OF DATE: 20150821 DATE AS OF CHANGE: 20150821 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: QUANTUM FUEL SYSTEMS TECHNOLOGIES WORLDWIDE, INC. CENTRAL INDEX KEY: 0001166380 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLE PARTS & ACCESSORIES [3714] IRS NUMBER: 330933072 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 25242 ARCTIC OCEAN DRIVE CITY: LAKE FOREST STATE: CA ZIP: 92630 BUSINESS PHONE: 949-399-4500 MAIL ADDRESS: STREET 1: 25242 ARCTIC OCEAN DRIVE CITY: LAKE FOREST STATE: CA ZIP: 92630 FORMER COMPANY: FORMER CONFORMED NAME: QUANTUM FUEL SYSTEMS TECHNOLOGIES WORLDWIDE INC DATE OF NAME CHANGE: 20020201 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MAZAIKA DAVID M CENTRAL INDEX KEY: 0001452702 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-49629 FILM NUMBER: 151069040 MAIL ADDRESS: STREET 1: 11226 VANDEMAN WAY CITY: SAN DIEGO STATE: CA ZIP: 92131 4 1 wf-form4_144018817116519.xml FORM 4 X0306 4 2015-08-19 0 0001166380 QUANTUM FUEL SYSTEMS TECHNOLOGIES WORLDWIDE, INC. QTWW 0001452702 MAZAIKA DAVID M 25242 ARCTIC OCEAN DRIVE LAKE FOREST CA 92630 0 1 0 0 Exec Dir Strategic Development Common Stock 2015-08-19 4 F 0 1723 1.42 D 46772 D On August 19, 2015, 4,583 shares of restricted stock granted to Mr. Mazaika on August 19, 2013, which vest at a rate of 1/3 per year over three years, vested. Mr. Mazaika automatically surrendered 1,723 of the vested shares to the Company to satisfy the tax withholding obligations arising from the vesting of the restricted stock. The surrender of the shares is an exempt transaction pursuant to Section 16b-3(e) - payment of exercise price or tax liability by delivering or withholding securities incident to the receipt, exercise or vesting of a security issued in accordance with Rule 16b-3. Includes 26,634 shares of unvested restricted stock. /s/ Kenneth R. Lombardo by Power of Attorney 2015-08-21