0001144204-11-035316.txt : 20110613
0001144204-11-035316.hdr.sgml : 20110613
20110613123321
ACCESSION NUMBER: 0001144204-11-035316
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110608
FILED AS OF DATE: 20110613
DATE AS OF CHANGE: 20110613
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Fallon Donald
CENTRAL INDEX KEY: 0001309697
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-13111
FILM NUMBER: 11907664
MAIL ADDRESS:
STREET 1: 180 SOUTH STREET
CITY: NEW PROVIDENCE
STATE: NJ
ZIP: 07974
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: AXION INTERNATIONAL HOLDINGS, INC.
CENTRAL INDEX KEY: 0000753048
STANDARD INDUSTRIAL CLASSIFICATION: PLASTICS FOAM PRODUCTS [3086]
IRS NUMBER: 840846389
STATE OF INCORPORATION: CO
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 180 SOUTH STREET
STREET 2: .
CITY: NEW PROVIDENCE
STATE: NJ
ZIP: 07974
BUSINESS PHONE: 908-542-0888
MAIL ADDRESS:
STREET 1: 180 SOUTH STREET
STREET 2: .
CITY: NEW PROVIDENCE
STATE: NJ
ZIP: 07974
FORMER COMPANY:
FORMER CONFORMED NAME: ANALYTICAL SURVEYS INC
DATE OF NAME CHANGE: 19920703
4
1
v225731_ex.xml
X0303
4
2011-06-08
0
0000753048
AXION INTERNATIONAL HOLDINGS, INC.
AXIH
0001309697
Fallon Donald
C/O AXION INTERNATIONAL HOLDINGS, INC.
180 SOUTH STREET, SUITE 104
NEW PROVIDENCE
NJ
07974
0
1
0
0
Chief Financial Officer
Stock options
1.30
2011-06-08
4
A
0
125000
0
A
2011-06-08
2016-06-08
Common Stock
125000
125000
D
Stock options
1.30
2011-06-08
4
A
0
125000
0
A
2012-06-08
2016-06-08
Common Stock
125000
125000
D
Stock options
1.75
2011-06-08
4
A
0
125000
0
A
2016-06-08
Common Stock
125000
125000
D
Stock options
2.00
2011-06-08
4
A
0
125000
0
A
2016-06-08
Common Stock
125000
125000
D
Becomes vested and exercisable when AXIH achieves $20 million in sales during any fiscal year
Becomes vested and exercisable when AXIH achieves $50 million in sales during any fiscal year
/s/ Donald W. Fallon
2011-06-13