0001104659-23-078694.txt : 20230706 0001104659-23-078694.hdr.sgml : 20230706 20230706154831 ACCESSION NUMBER: 0001104659-23-078694 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230703 FILED AS OF DATE: 20230706 DATE AS OF CHANGE: 20230706 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DiElsi Gary J. CENTRAL INDEX KEY: 0001939971 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35521 FILM NUMBER: 231073473 MAIL ADDRESS: STREET 1: 18 PIERREPONT DRIVE CITY: RIDGEFIELD STATE: CT ZIP: 06877 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ClearSign Technologies Corp CENTRAL INDEX KEY: 0001434524 STANDARD INDUSTRIAL CLASSIFICATION: INDUSTRIAL INSTRUMENTS FOR MEASUREMENT, DISPLAY, AND CONTROL [3823] 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 tm2320744-1_4.xml FORM 4 X0407 4 2023-07-03 0 0001434524 ClearSign Technologies Corp CLIR 0001939971 DiElsi Gary J. 8023 E. 63RD PLACE, SUITE 101 TULSA OK 74133 1 0 0 0 0 Restricted Stock Units 2023-07-03 4 A 0 12959 0.00 A Common Stock 12959 97422 D As compensation for services as a non-executive director during the quarter ending September 30, 2023, the reporting person was granted restricted stock units ("RSUs") under the ClearSign Technologies Corporation 2021 Equity Incentive Plan and each RSU represents a right to receive one share of common stock or the cash equivalent thereof. The RSUs will vest upon the first to occur of: (1) a Change in Control (as defined in the applicable RSU award agreement), (2) the reporting person's Disability (as defined in the applicable RSU award agreement); (3) the reporting person's death; or (4) the reporting person's separation from service. /s/ Gary J. DiElsi 2023-07-06