0001003344-16-000123.txt : 20161208 0001003344-16-000123.hdr.sgml : 20161208 20161208164203 ACCESSION NUMBER: 0001003344-16-000123 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161208 FILED AS OF DATE: 20161208 DATE AS OF CHANGE: 20161208 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HEADWATERS INC CENTRAL INDEX KEY: 0001003344 STANDARD INDUSTRIAL CLASSIFICATION: CONCRETE PRODUCTS, EXCEPT BLOCK & BRICK [3272] IRS NUMBER: 870547337 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 10701 SOUTH RIVERFRONT PARKWAY STREET 2: SUITE 300 CITY: SOUTH JORDAN STATE: UT ZIP: 84095 BUSINESS PHONE: 8019849400 MAIL ADDRESS: STREET 1: 10701 SOUTH RIVERFRONT PARKWAY STREET 2: SUITE 300 CITY: SOUTH JORDAN STATE: UT ZIP: 84095 FORMER COMPANY: FORMER CONFORMED NAME: COVOL TECHNOLOGIES INC DATE OF NAME CHANGE: 19951113 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BENSON KIRK A CENTRAL INDEX KEY: 0001077606 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32459 FILM NUMBER: 162041899 MAIL ADDRESS: STREET 1: 10653 S. RIVER FRONT PARKWAY STREET 2: SUITE 300 CITY: SOUTH JORDAN STATE: UT ZIP: 84043 4 1 edgardoc.xml PRIMARY DOCUMENT X0306 4 2016-12-08 0 0001003344 HEADWATERS INC HW 0001077606 BENSON KIRK A 10701 S. RIVER FRONT PARKWAY, SUITE 300 SOUTH JORDAN UT 84095 1 1 0 0 Chief Executive Officer Common Stock 2016-12-08 4 S 0 516345 23.5619 D 874993 D Common Stock 300000 I by Corporation Kirk A. Benson 2016-12-08