0001209191-16-152509.txt : 20161130
0001209191-16-152509.hdr.sgml : 20161130
20161130171836
ACCESSION NUMBER: 0001209191-16-152509
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161128
FILED AS OF DATE: 20161130
DATE AS OF CHANGE: 20161130
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Vystar Corp
CENTRAL INDEX KEY: 0001308027
STANDARD INDUSTRIAL CLASSIFICATION: FABRICATED RUBBER PRODUCTS, NEC [3060]
IRS NUMBER: 202027731
STATE OF INCORPORATION: GA
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2484 BRIARCLIFF RD NE, #22, SUITE 159
CITY: ATLANTA
STATE: GA
ZIP: 30329
BUSINESS PHONE: 866-674-5238
MAIL ADDRESS:
STREET 1: 2484 BRIARCLIFF RD NE, #22, SUITE 159
CITY: ATLANTA
STATE: GA
ZIP: 30329
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Osborn Keith D.
CENTRAL INDEX KEY: 0001546153
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-53754
FILM NUMBER: 162026037
MAIL ADDRESS:
STREET 1: 5671 PEACHTREE-DUNWOODY RD.
CITY: ATLANTA
STATE: GA
ZIP: 30342
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-11-28
0
0001308027
Vystar Corp
VYST
0001546153
Osborn Keith D.
2480 BRIARCLIFF RD NE, #6,
SUITE 159
ATLANTA
GA
30329
1
0
1
0
Common Stock
2016-11-28
4
P
0
15000
0.1755
A
3490000
I
By 401(k) plan
Common Stock
2016-11-28
4
P
0
15000
0.185
A
3505000
I
By 401(k) plan
Common Stock
6848609
I
By Sound Investment Partners, LLC
Common Stock
155000
I
As custodian for minor child
Common Stock
4209000
D
Common Stock
200000
I
By Trust
The securities are held by Sound Investment Partners, LLC. The reporting person is the Manager of Sound Investment Partners, LLC.
The shares are held by the Keith D. Osborn 1991 life insurance trust, for which the reporting person's spouse is the sole trustee.
Keith D. Osborn, M.D.
2016-11-30