SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Nussbaum Scott P

(Last) (First) (Middle)
230 GILL WAY

(Street)
ROCK HILL SC 29730

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
GlyEco, Inc. [ GLYE ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
12/02/2016
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 Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 07/19/2017 A(1) 117,346 A $0.098(2) 2,810,228 D
Common Stock 07/17/2017 X(3) 156,250 A $0.08 2,966,478 D
Common Stock 07/17/2017 X(3) 156,250 A $0.08 1,096,250 I(4) By trust
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)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted Stock Grant (5) 12/02/2016 A 1,100,000 (6) (6) Common Stock 1,100,000 $0 1,100,000(7) D
Explanation of Responses:
1. Shares granted under the Company's Director Compensation Plan for the fiscal quarter ended June 30, 2017.
2. Shares priced as of the close on April 3, 2017.
3. Shares acquired through the exercise of warrants on July 17, 2017, which warrants were acquired in a private placement on December 27, 2016.
4. Shares held by the Mara Nussbaum 2011 Grantor Trust, of which the reporting person's sister is a beneficiary, and of which the reporting person is the trustee.
5. The Restricted Stock Grant represents a contingent right to receive 1,100,000 shares of Issuer common stock.
6. The Restricted Stock Grant was granted in connection with the reporting person joining the Issuer as a director on December 2, 2016, and vests upon the Issuer's common stock achieving a 30-day volume-weighted average price of $0.20.
7. The report reflects an updated amount of derivative securities held by the reporting person.
/s/ Scott Nussbaum 07/19/2017
** 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).
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