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