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