SEC Form 5
FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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OMB Number: 3235-0362
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hours per response: 1.0
  
 Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
  
 Form 3 Holdings Reported.
  
 Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
BD & DBG LIVING TRUST
(Last) (First) (Middle)
22816 34TH AVENUE WEST
(Street)
BRIER WA 98036
(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
CLEARSIGN COMBUSTION CORP [ CLIR ] 		5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
12/31/2015
4. If Amendment, Date of Original Filed (Month/Day/Year)
 6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Amount (A) or (D) Price
Common Stock 12/08/2014 S 25,500 D $8.3802 946,604 D
Common Stock 12/09/2014 S 2,900 D $7.9746 921,104 D
Common Stock 12/10/2014 S 2,400 D $7.9498 918,204 D
Common Stock 12/11/2014 S 5,468 D $7.9555 915,804 D
Common Stock 01/22/2015 S 5,687 D $5.8399 910,117 D
Common Stock 01/23/2015 S 2,789 D $6.1399 907,328 D
Common Stock 01/26/2015 S 2,508 D $5.9699 904,820 D
Common Stock 01/26/2015 S 3,414 D $5.8179 901,406 D
Common Stock 01/26/2015 S 151 D $5.9698 901,255 D
Common Stock 01/27/2015 S 3,359 D $5.8399 897,896 D
Common Stock 01/28/2015 S 1,490 D $5.876 896,406 D
Common Stock 01/28/2015 S 1,771 D $5.9099 894,635 D
Common Stock 01/29/2015 S 829 D $6.0261 893,806 D
Common Stock 02/05/2015 S 17,000 D $5.85 876,806 D
Common Stock 03/06/2015 S 183,000 D $5.68 693,806 D
Common Stock 09/18/2015 S 10,000 D $6.18 683,806 D
Common Stock 09/22/2015 S 1,600 D $7.35 682,206 D
Common Stock 09/23/2015 S 8,400 D $7.3602 673,806 D
Common Stock 11/30/2015 S 10,000 D $4.9998 663,806 D
Common Stock 12/01/2015 S 10,000 D $5.0107 653,806 D
Common Stock 12/03/2015 S 14,382 D $5.0436 639,424 D
Common Stock 12/04/2015 S 11,100 D $5.01 628,324 D
Common Stock 12/10/2015 S 2,981 D $4.9 625,343 D
Common Stock 12/11/2015 S 300 D $4.9133 625,043 D
Common Stock 12/15/2015 S 2,885 D $4.5203 622,158 D
Common Stock 12/16/2015 S 8,834 D $4.5464 613,324 D
Common Stock 12/17/2015 S 10,000 D $4.5951 603,324 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
/s/ Robert F. Jordan, Trustee 01/08/2016
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.