0001161697-13-000091.txt : 20130206 0001161697-13-000091.hdr.sgml : 20130206 20130206170812 ACCESSION NUMBER: 0001161697-13-000091 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130204 FILED AS OF DATE: 20130206 DATE AS OF CHANGE: 20130206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KAWAHATA MASAHIRO CENTRAL INDEX KEY: 0001484517 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-30262 FILM NUMBER: 13578667 MAIL ADDRESS: STREET 1: 3-18-2 DENENCHOFU, OTA-KU CITY: TOKYO STATE: M0 ZIP: 145-0071 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 420 CITY: SEATTLE STATE: WA ZIP: 98101 BUSINESS PHONE: 206-903-1351 MAIL ADDRESS: STREET 1: 500 UNION STREET STREET 2: SUITE 420 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 form4.xml FORM 4 FOR 02-04-2013 X0306 4 2013-02-04 1 0001074828 VISUALANT INC VSUL 0001484517 KAWAHATA MASAHIRO 3-18-2 DENENCHOFU, OTA-KU TOKYO M0 145-0071 JAPAN 0 0 0 1 Former Director Common Stock 2013-02-04 4 S 0 174091 0.1113 D 100000 D Common Stock 2013-02-04 4 S 0 126409 0.1113 D 0 I Nextelligent, Inc. Option to Purchase Common Stock 0.13 2012-06-08 2022-06-08 Common Stock 500000 500000 D Nextelligent, Inc. is an affiliated entity of Masahiro Kawahata. /s/ Masahiro Kawahata 2013-02-06