0001005794-12-000010.txt : 20120214 0001005794-12-000010.hdr.sgml : 20120214 20120214164650 ACCESSION NUMBER: 0001005794-12-000010 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20120214 DATE AS OF CHANGE: 20120214 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Brown Daniel L. CENTRAL INDEX KEY: 0001490935 FILING VALUES: FORM TYPE: SC 13G MAIL ADDRESS: STREET 1: C/O GREEN BALLAST, INC. STREET 2: 2620 THOUSAND OAKS BOULEVARD, SUITE 400 CITY: MEMPHIS STATE: TN ZIP: 38118 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: Green Ballast, Inc. CENTRAL INDEX KEY: 0001526543 STANDARD INDUSTRIAL CLASSIFICATION: ELECTRIC LIGHTING & WIRING EQUIPMENT [3640] IRS NUMBER: 451629984 STATE OF INCORPORATION: DE FISCAL YEAR END: 1211 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-86707 FILM NUMBER: 12611179 BUSINESS ADDRESS: STREET 1: 2620 THOUSAND OAKS STREET 2: SUITE 4000 CITY: MEMPHIS STATE: TN ZIP: 38118 BUSINESS PHONE: 901-260-4400 MAIL ADDRESS: STREET 1: 2620 THOUSAND OAKS STREET 2: SUITE 4000 CITY: MEMPHIS STATE: TN ZIP: 38118 SC 13G 1 greenballast13gbrown.htm GREEN BALLAST, INC. 13G BROWN DECEMBER 31, 2011 greenballast13gbrown.htm

 


UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549

SCHEDULE 13G

Under the Securities Exchange Act of 1934
(Amendment No. _________)*
 
 
Green Ballast, Inc.
(Name of Issuer)
 
Common Stock
(Title of Class of Securities)
 
39260T109
(CUSIP Number)
 
December 31, 2011
(Date of Event Which Requires Filing of this Statement)
 
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

        o Rule 13d-1 (b)

        o Rule 13d-1 (c)

        þRule 13d-1 (d)

*The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the notes).





Page 1 of  8
 
 
 



 
 
             
13G
 
CUSIP No. 39260T109
 
 
 
1.
 
Name of Reporting Person:
Brown Family Limited
Partnership
 
I.R.S. Identification Nos. of above persons (entities only):
 
       
 
 
2.
Check the Appropriate Box if a Member of a Group:
     
   
(a)
o
  
         
   
(b)
þ
  
 
 
 
3.
 
SEC Use Only:
 
 
 
 
4.
Citizenship or Place of Organization:
Tennessee
 
 
 
 
 
 
Number of
 Shares
 Beneficially
 Owned by
 Each Reporting
 Person With
 
 
 
 
 
        
5.
Sole Voting Power:
0
 
6.
Shared Voting Power:
11,625,450
 
7.
Sole Dispositive Power:
0
 
8.
Shared Dispositive Power:
11,625,450
 
 
 
9.
Aggregate Amount Beneficially Owned by Each Reporting Person:
11,625,450
 
 
 
 
10.
Check if the Aggregate Amount in Row (9) Excludes Certain Shares:
o
 
 
 
11.
Percent of Class Represented by Amount in Row (9):
12.1%
 
 
 
12.
Type of Reporting Person:
PN
 

 
 
Page 2 of 8
 
13G
 
CUSIP No. 39260T109
 
 
 
 
1.
 
Name of Reporting Person:
Daniel L. Brown
 
I.R.S. Identification Nos. of above persons (entities only):
 
 
 
 
2.
Check the Appropriate Box if a Member of a Group:
     
   
(a)
o
  
         
   
(b)
þ
  
 
 
 
3.
SEC Use Only:
 
 
 
4.
Citizenship or Place of Organization:
U.S.A.
 
 
 
 
 
Number of
 Shares
 Beneficially
 Owned by
 Each Reporting
 Person With
 
 
 
 
 
        
5.
Sole Voting Power:
3,875,150
 
6.
Shared Voting Power:
11,625,450
 
7.
Sole Dispositive Power:
3,875,150
 
8.
Shared Dispositive Power:
11,625,450
 
 
 
9.
Aggregate Amount Beneficially Owned by Each Reporting Person:
15,500,600
 
 
 
10.
Check if the Aggregate Amount in Row (9) Excludes Certain Shares:
o
 
 
 
11.
Percent of Class Represented by Amount in Row (9):
16.1%
 
 
 
12.
Type of Reporting Person:
HC
 


Page 3 of 8
 
 
 
 
 
Item 1(a)  Name of Issuer:
  
Green Ballast, Inc.
 
 
 
Item 1(b)
Address of Issuer’s Principal Executive Offices:
  
2620 Thousand Oaks Blvd, Suite 4000
Memphis, Tennessee 38118
 
 
 
Item 2 (a) Name of Person Filing:
  
This Schedule 13G is filed on behalf of Brown Family Limited Partnership and Daniel L. Brown (the “Reporting Persons”).
 
 
 
Item 2(b) Address of Principal Business Offices:
  
The address of the principal business office for the Brown Family Limited Partnership is 2 Devon Way, Memphis, TN 38111.
  
The address of the principal business office for Daniel L. Brown is 2620 Thousand Oaks Blvd, Suite 4000
Memphis, TN 38118.
 
 
 
Item 2(c) Citizenship:
  
The place of organization for Brown Family Limited Partnership is Tennessee. Daniel L. Brown is a United States citizen.
 
 
 
Item 2(d) Title of Class of Securities:
  
Common Stock
 
 
 
Item 2(e) CUSIP Number:
  
39260T109
 
 
 
Item 3 If this statement is filed pursuant to Rule 13d-1(b), or 13d-2(b) or (c), check whether the person filing is a:
   
  (a) o Broker or dealer registered under Section 15 of the Exchange Act
   
  (b) o Bank as defined in Section 3(a)(6) of the Exchange Act
   
  (c) o Insurance company as defined in Section 3(a)(19) of the Exchange Act
   
  (d) o Investment company registered under Section 8 of the Investment Company Act
   
 

 
 
 
Page 4 of 8
 
 
 
  (e) o An investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E)
   
  (f) o An employee benefit plan or endowment fund in accordance with Rule 13d-1(b)(1)(ii)(F)
   
  (g)   o A parent holding company or control person in accordance with Rule 13d-1(b)(1)(ii)(G)
   
  (h)   o A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act
   
  (i) o A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act
   
  (j) o A non-U.S. institution in accordance with §240.13d-1(b)(1)(ii)(K)
   
  (k)   o Group, in accordance with §240.13d-1(b)(1)(ii)(J), please specify the type of institution:
 
 
Item 4
Ownership.
 
Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.
  
     
(a) 
Amount beneficially owned:
  
     
   
Brown Family Limited Partnership is the direct beneficial owner of 11,625,450 shares of Common Stock of the Issuer. Rosalyn Brown is the general partner of the Brown Family Limited Partnership. Daniel L. Brown is the spouse of Rosalyn Brown. As such, Mr. Brown may be deemed to be the beneficial owner of the 11,625,450 shares held by the Brown Family Limited Partnership.  Mr. Brown also directly owns 3,875,150 shares of Common Stock of the Issuer.
  
     
 (b) 
Percent of class:
  
     
 
See the Cover Pages for each of the Reporting Persons. The percentages were calculated based on  96,450, 400 shares of Common Stock of the Issuer outstanding as of December 5, 2011.
  
     
(c) 
Number of shares as to which the person has:*
  
     
  
 (i)    Sole power to vote or to direct the vote:*  
     
     
(ii)   Shared power to vote or to direct the vote:*
  
     
    
(iii)  Sole power to dispose or to direct the disposition of:*
  
     
    
 (iv)  Shared power to dispose or to direct the disposition of:*  
     
  
* See the Cover Pages for each of the Reporting Persons.
  
     
Item 5
Ownership of Five Percent or Less of a Class.
  
If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following o
  
 
 
 
Page 5 of 8
 
 
 
     
Item 6
Ownership of More than Five Percent on Behalf of Another Person.
  
Not applicable
  
     
Item 7
Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company.
  
Not applicable
  
     
Item 8
Identification and Classification of Members of the Group.
  
Not applicable
  
     
Item 9
Notice of Dissolution of Group.
  
Not applicable
  
     
Item 10
Certifications.
  
Not applicable
  

 

Page 6 of 8
 
 
 
 


SIGNATURES

     After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.

Date: February 13, 2012
 

/s/ Daniel L. Brown
Daniel L. Brown


BROWN FAMILY LIMITED PARTNERSHIP

By: /s/ Rosalyn Brown
Name: Rosalyn Brown
Title: General Partner






Page 7 of  8
 
 
 

JOINT FILING AGREEMENT

Pursuant to Rule 13d-1(k)(1) under the Securities Exchange Act of 1934, the undersigned hereby agree that only one statement containing the information required by Schedule 13G need be filed with respect to the beneficial ownership by each of the undersigned of shares of common stock of Green Ballast, Inc.

Date: February 13, 2012
 

/s/ Daniel L. Brown
Daniel L. Brown


BROWN FAMILY LIMITED PARTNERSHIP

By: /s/ Rosalyn Brown
Name: Rosalyn Brown
Title: General Partner
 
 
 
 
 
 
Page 8 of 8