-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, RF4H3rqT1UybHAcSS0LYhSlEwIZWQs+k3uoOJjX9mk9OPg2SmDygm+zVBw4Rh1fP X3Ab3lnsb8JZSaSlF1facQ== 0001249570-03-000005.txt : 20030916 0001249570-03-000005.hdr.sgml : 20030916 20030916111359 ACCESSION NUMBER: 0001249570-03-000005 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030912 FILED AS OF DATE: 20030916 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ADA-ES INC CENTRAL INDEX KEY: 0001223112 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS CHEMICAL PRODUCTS [2890] IRS NUMBER: 841457335 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 MAIL ADDRESS: STREET 1: 8100 SOUTHPARK WAY B CITY: LITTLETON STATE: CO ZIP: 80120 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BLOOM DUANE N CENTRAL INDEX KEY: 0001249571 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50216 FILM NUMBER: 03896939 BUSINESS ADDRESS: STREET 1: 8100 SOUTHPARK WAY STREET 2: SUITE B CITY: LITTLETON STATE: CO ZIP: 801204525 BUSINESS PHONE: 3037541727 MAIL ADDRESS: STREET 1: 8100 SOUTHPARK WAY STREET 2: SUITE B CITY: LITTLETON STATE: CO ZIP: 801204525 4 1 primary_doc.xml PRIMARY DOCUMENT X0201 4 2003-09-12 0 0001223112 ADA-ES INC n/a 0001249571 BLOOM DUANE N 8100 SOUTHPARK WAY SUITE B LITTLETON CO 801204525 1 0 0 0 common stock, no par value 2003-09-12 4 J 0 53163 0 A 53163 D Shares acquired by dividend from parent company, Earth Sciences, Inc. No amounts were paid for the securities. See footnote #1. Of the amount shown 25,109 shares are held in Dr. Bloom's pension fund account. Included in the amount shown are 773 shares registered in the name of Dr. Bloom's wife. Duane N Bloom 2003-09-16 -----END PRIVACY-ENHANCED MESSAGE-----