0001161697-12-000724.txt : 20120919 0001161697-12-000724.hdr.sgml : 20120919 20120919085752 ACCESSION NUMBER: 0001161697-12-000724 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120918 FILED AS OF DATE: 20120919 DATE AS OF CHANGE: 20120919 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ERICKSON RONALD P CENTRAL INDEX KEY: 0001140319 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-30262 FILM NUMBER: 121098795 MAIL ADDRESS: STREET 1: 9437 NE CORAL COURT CITY: BAINBRIDGE ISLAND STATE: WA ZIP: 98110 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: VISUALANT INC CENTRAL INDEX KEY: 0001074828 STANDARD INDUSTRIAL CLASSIFICATION: MEASURING & CONTROLLING DEVICES, NEC [3829] IRS NUMBER: 911948357 STATE OF INCORPORATION: NV FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 500 UNION STREET STREET 2: SUITE 406 CITY: SEATTLE STATE: WA ZIP: 98101 BUSINESS PHONE: 206-903-1351 MAIL ADDRESS: STREET 1: 500 UNION STREET STREET 2: SUITE 406 CITY: SEATTLE STATE: WA ZIP: 98101 FORMER COMPANY: FORMER CONFORMED NAME: Visualant, INC DATE OF NAME CHANGE: 20050106 FORMER COMPANY: FORMER CONFORMED NAME: STARBERRYS CORP DATE OF NAME CHANGE: 20020918 FORMER COMPANY: FORMER CONFORMED NAME: CIGAR KING CORP DATE OF NAME CHANGE: 19990127 4 1 form_4.xml FORM 4 FOR 09-18-2012 X0306 4 2012-09-18 0 0001074828 VISUALANT INC VSUL 0001140319 ERICKSON RONALD P 500 UNION STREET SUITE 406 SEATTLE WA 98101 1 1 0 0 CEO Common Stock 2012-09-18 4 P 0 10000 0.1 A 1827106 D Common Stock 500000 I . Common Stock 66667 I . Common Stock 1000000 I . Common Stock 2000000 I . Option to Purchase Common Stock .15 2020-05-09 Common Stock 3000000 3000000 D Option to Purchase Common Stock .13 2022-06-08 Common Stock 1000000 4000000 D Held by Dia Armenta Held by eCharge Corp Held by Juliz Limited Partnership- Family LP Held by J3E2A2Z Limited Partnership Option vests quarterly over 2 years commencing 05-10-2010 Option vests quarterly over 1 year commencing 06-08-2012. Option grant is subject to an increase in the 2011 Stock Incentive Plan at the 2012 Annual Shareholder Meeting. /s/ Ronald P. Erickson 2012-09-18