0001161697-15-000050.txt : 20150127 0001161697-15-000050.hdr.sgml : 20150127 20150127170524 ACCESSION NUMBER: 0001161697-15-000050 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150123 FILED AS OF DATE: 20150127 DATE AS OF CHANGE: 20150127 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCOTT MARK E CENTRAL INDEX KEY: 0001197104 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-30262 FILM NUMBER: 15552407 MAIL ADDRESS: STREET 1: C/O VISUALANT INC STREET 2: 500 UNION STREET, SUITE 420 CITY: SEATTLE STATE: WA ZIP: 98101 4 1 form_4.xml FORM 4 FOR 01-23-2015 X0306 4 2015-01-23 0 0001074828 VISUALANT INC VSUL 0001197104 SCOTT MARK E C/O VISUALANT, INC. 500 UNION STREET, SUITE 420 SEATTLE WA 98101 0 1 0 0 Chief Financial Officer Common Stock 2015-01-23 4 A 0 200000 0.10 A 1568500 D Series A Warrant 0.15 2013-06-14 2018-06-14 Common Stock 100000 100000 D Series B Warrant 0.20 2013-06-14 2018-06-14 Common Stock 100000 100000 D Option to Purchase Common Stock 0.13 2015-01-23 4 J 0 150000 0 D 2022-06-08 Common Stock 150000 850000 D 500,000 Option shares fully-vested and 500,000 Option shares vest quarterly over 1 year commencing 06/08/2012. Option shares cancelled. Issued in accordance with the 2011 Stock Incentive Plan. /s/ Mark E. Scott 2015-01-27