0001104659-22-071937.txt : 20220616 0001104659-22-071937.hdr.sgml : 20220616 20220616163040 ACCESSION NUMBER: 0001104659-22-071937 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220614 FILED AS OF DATE: 20220616 DATE AS OF CHANGE: 20220616 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pate Bruce Alan CENTRAL INDEX KEY: 0001765385 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35521 FILM NUMBER: 221020984 MAIL ADDRESS: STREET 1: 23235 WALLING RD. CITY: GEYSERVILLE STATE: CA ZIP: 95441 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ClearSign Technologies Corp CENTRAL INDEX KEY: 0001434524 STANDARD INDUSTRIAL CLASSIFICATION: INDUSTRIAL INSTRUMENTS FOR MEASUREMENT, DISPLAY, AND CONTROL [3823] IRS NUMBER: 000000000 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 8023 E. 63RD PLACE, SUITE 101 CITY: TULSA STATE: OK ZIP: 74133 BUSINESS PHONE: (918) 236-7770 MAIL ADDRESS: STREET 1: 8023 E. 63RD PLACE, SUITE 101 CITY: TULSA STATE: OK ZIP: 74133 FORMER COMPANY: FORMER CONFORMED NAME: CLEARSIGN COMBUSTION CORP DATE OF NAME CHANGE: 20080507 4 1 tm2218532-1_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2022-06-14 0 0001434524 ClearSign Technologies Corp CLIR 0001765385 Pate Bruce Alan 8023 E. 63RD PLACE, SUITE 101 TULSA OK 74133 1 0 0 0 Common Stock 2022-06-14 4 P 0 45000 1.12 A 150000 I Pate Capital Partners LP Common Stock 100000 I Pate Family Trust /s/ Bruce A. Pate 2022-06-16