0001171843-18-001922.txt : 20180313
0001171843-18-001922.hdr.sgml : 20180313
20180313181225
ACCESSION NUMBER: 0001171843-18-001922
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180307
FILED AS OF DATE: 20180313
DATE AS OF CHANGE: 20180313
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Anderson Robert Ford
CENTRAL INDEX KEY: 0001734454
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33522
FILM NUMBER: 18687802
MAIL ADDRESS:
STREET 1: C/O SYNTHESIS ENERGY SYSTEMS, INC.
STREET 2: THREE RIVERWAY, SUITE 300
CITY: HOUSTON
STATE: TX
ZIP: 77056
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: SYNTHESIS ENERGY SYSTEMS INC
CENTRAL INDEX KEY: 0001375063
STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS PRODUCTS OF PETROLEUM & COAL [2990]
IRS NUMBER: 202110031
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0630
BUSINESS ADDRESS:
STREET 1: THREE RIVERWAY, SUITE 300
CITY: HOUSTON
STATE: TX
ZIP: 77056
BUSINESS PHONE: 713-579-0600
MAIL ADDRESS:
STREET 1: THREE RIVERWAY, SUITE 300
CITY: HOUSTON
STATE: TX
ZIP: 77056
4
1
formfour.xml
OWNERSHIP DOCUMENT
X0306
4
2018-03-07
0
0001375063
SYNTHESIS ENERGY SYSTEMS INC
SYMX
0001734454
Anderson Robert Ford
THREE RIVERWAY, SUITE 300
HOUSTON
TX
77056
1
0
0
0
Stock Option (right to buy)
3.50
2018-03-07
4
A
0
34064
0
A
2028-03-07
Common Stock
34064
34064
D
This option vests in four equal quarterly installments beginning on March 31, 2018.
/s/ Robert Anderson
2018-03-13