0001014108-24-000005.txt : 20240202 0001014108-24-000005.hdr.sgml : 20240202 20240202185833 ACCESSION NUMBER: 0001014108-24-000005 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240201 FILED AS OF DATE: 20240202 DATE AS OF CHANGE: 20240202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HOFFMAN Robert Thurston Sr CENTRAL INDEX KEY: 0001748409 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35521 FILM NUMBER: 24593432 MAIL ADDRESS: STREET 1: 119 WARREN AVENUE CITY: SPRING LAKE STATE: NJ ZIP: 07762 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: clirSPV LLC CENTRAL INDEX KEY: 0001747304 ORGANIZATION NAME: STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35521 FILM NUMBER: 24593431 BUSINESS ADDRESS: STREET 1: 119 WARREN AVE STREET 2: 3RD FLOOR CITY: SPRING LAKE STATE: NJ ZIP: 07762-1217 BUSINESS PHONE: 7322820743 MAIL ADDRESS: STREET 1: 119 WARREN AVE STREET 2: 3RD FLOOR CITY: SPRING LAKE STATE: NJ ZIP: 07762-1217 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GPclirSPV LLC CENTRAL INDEX KEY: 0001749087 ORGANIZATION NAME: STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35521 FILM NUMBER: 24593430 BUSINESS ADDRESS: STREET 1: 119 WARREN AVE STREET 2: 3RD FLOOR CITY: SPRING LAKE STATE: NJ ZIP: 07762 BUSINESS PHONE: 6097311597 MAIL ADDRESS: STREET 1: 119 WARREN AVE STREET 2: 3RD FLOOR CITY: SPRING LAKE STATE: NJ ZIP: 07762 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Princeton Opportunity Management LLC CENTRAL INDEX KEY: 0001749086 ORGANIZATION NAME: STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35521 FILM NUMBER: 24593429 BUSINESS ADDRESS: STREET 1: 119 WARREN AVE STREET 2: 3RD FLOOR CITY: SPRING LAKE STATE: NJ ZIP: 07762 BUSINESS PHONE: 6097311597 MAIL ADDRESS: STREET 1: 119 WARREN AVE STREET 2: 3RD FLOOR CITY: SPRING LAKE STATE: NJ ZIP: 07762 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ClearSign Technologies Corp CENTRAL INDEX KEY: 0001434524 STANDARD INDUSTRIAL CLASSIFICATION: INDUSTRIAL INSTRUMENTS FOR MEASUREMENT, DISPLAY, AND CONTROL [3823] ORGANIZATION NAME: 08 Industrial Applications and Services IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 8023 E. 63RD PLACE, SUITE 101 CITY: TULSA STATE: OK ZIP: 74133 BUSINESS PHONE: (918) 236-6461 MAIL ADDRESS: STREET 1: 8023 E. 63RD PLACE, SUITE 101 CITY: TULSA STATE: OK ZIP: 74133 FORMER COMPANY: FORMER CONFORMED NAME: CLEARSIGN COMBUSTION CORP DATE OF NAME CHANGE: 20080507 4 1 primary_doc.xml PRIMARY DOCUMENT X0508 4 2024-02-01 0 0001434524 ClearSign Technologies Corp CLIR 0001748409 HOFFMAN Robert Thurston Sr 8023 E. 63RD PLACE SUITE 101 TULSA OK 74133 1 0 1 0 0001747304 clirSPV LLC 119 WARREN AVE 3RD FLOOR SPRING LAKE NJ 07762 0 0 1 0 0001749087 GPclirSPV LLC 119 WARREN AVE 3RD FLOOR SPRING LAKE NJ 07762 0 0 1 0 0001749086 Princeton Opportunity Management LLC 119 WARREN AVE 3RD FLOOR SPRING LAKE NJ 07762 0 0 1 0 0 Common Stock (CLIR) 2024-02-01 4 J 0 1269705 0 D 6189857 I See Note Common Stock (CLIR) 110519 I IRA Note: clirSPV LLC distributed 1,269,705 shares of ClearSign Technologies Corp. to certain of its members. To the knowledge of Mr. Hoffman, none of such members holds 5% or more of the Common Stock of ClearSign Technologies Corp. after such distribution. Note: Mr. Hoffman is the managing member of GPclirSPV LLC which is the managing member of clirSPV LLC, the owner of the common stock. Mr. Hoffman disclaims beneficial ownership of these shares except to the extent of his pecuniary interest in clirSPV LLC. clirSPV LLC has distributed 1,269,705 shares of ClearSign Technologies Corp. to certain of its members pursuant to their rights to cause such distributions. clirSPV LLC has direct ownership of 6,189,857 shares of Common Stock. GPclirSPV, LLC has no direct ownership of the shares purchased and total indirect beneficial ownership of 6,189,857 shares of Common Stock. Princeton Opportunity Management LLC has no direct ownership of shares purchased and total indirect beneficial ownership of 6,189,857 shares of Common Stock /s/Robert T. Hoffman Sr, 2024-02-02 /s/Robert T. Hoffman Sr. (clirSPV LLC) 2024-02-02 /s/Robert T. Hoffman Sr. (GPclirSPV LLC) 2024-02-02 /s/Robert T. Hoffman Sr. (Princeton Opportunity Management LLC) 2024-02-02