0001104659-24-052051.txt : 20240425 0001104659-24-052051.hdr.sgml : 20240425 20240425170141 ACCESSION NUMBER: 0001104659-24-052051 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240423 FILED AS OF DATE: 20240425 DATE AS OF CHANGE: 20240425 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Maley David M CENTRAL INDEX KEY: 0002021245 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35521 FILM NUMBER: 24877308 MAIL ADDRESS: STREET 1: 8023 E. 63RD PLACE STREET 2: SUITE 101 CITY: TULSA STATE: OK ZIP: 74133 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 tm2412715-2_4seq1.xml OWNERSHIP DOCUMENT X0508 4 2024-04-23 0 0001434524 ClearSign Technologies Corp CLIR 0002021245 Maley David M 8023 E. 63RD PLACE, SUITE 101 TULSA OK 74133 1 0 0 0 0 Restricted Stock Units 2024-04-23 4 A 0 14409 0.00 A Common Stock 14409 14409 D As compensation for services as a non-executive director during the quarter ending June 30, 2024, on April 23, 2024, the reporting person was granted restricted stock units ("RSUs") under the ClearSign Technologies Corporation 2021 Equity Incentive Plan, pro-rated based on an appointment date of April 23, 2024, 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/ David M. Maley 2024-04-25