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