0001161697-16-000974.txt : 20160712 0001161697-16-000974.hdr.sgml : 20160712 20160712061018 ACCESSION NUMBER: 0001161697-16-000974 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160707 FILED AS OF DATE: 20160712 DATE AS OF CHANGE: 20160712 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: 001-37479 FILM NUMBER: 161763115 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 07-07-2016 X0306 4 2016-07-07 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 2016-07-07 4 M 0 1334 2.50 A 11791 D Series A Warrant 2.50 2016-07-07 4 M 0 667 2.50 D 2013-06-14 2018-06-14 Common Stock 667 0 D Series B Warrant 2.50 2016-07-07 4 M 0 667 2.50 D 2013-06-14 2018-06-14 Common Stock 667 0 D Option to Purchase Common Stock 19.50 2022-06-08 Common Stock 5668 5668 D Exercise of Warrants. Option shares fully-vested quarterly over 1 year commencing 06/08/2012. /s/ Mark E. Scott 2016-07-11