0001104659-17-049962.txt : 20170807 0001104659-17-049962.hdr.sgml : 20170807 20170807173946 ACCESSION NUMBER: 0001104659-17-049962 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170803 FILED AS OF DATE: 20170807 DATE AS OF CHANGE: 20170807 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Wolenski David John CENTRAL INDEX KEY: 0001581479 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35810 FILM NUMBER: 171012745 MAIL ADDRESS: STREET 1: 5328 W. BURGUNDY PL. CITY: LITTLETON STATE: CO ZIP: 80123 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: QUALSTAR CORP CENTRAL INDEX KEY: 0000758938 STANDARD INDUSTRIAL CLASSIFICATION: MAGNETIC & OPTICAL RECORDING MEDIA [3695] IRS NUMBER: 953927330 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 130 WEST COCHRAN STREET STREET 2: UNIT C CITY: SIMI VALLEY STATE: CA ZIP: 93065 BUSINESS PHONE: 805-583-7744 MAIL ADDRESS: STREET 1: 130 WEST COCHRAN STREET STREET 2: UNIT C CITY: SIMI VALLEY STATE: CA ZIP: 93065 4 1 a4.xml 4 X0306 4 2017-08-03 0 0000758938 QUALSTAR CORP QBAK 0001581479 Wolenski David John C/O QUALSTAR CORPORATION 130 WEST COCHRAN STREET, UNIT C SIMI VALLEY CA 93065 1 0 0 0 Stock Option (Right to Buy) 7.08 2017-08-03 4 A 0 5000 0 A 2017-08-03 2027-08-03 Common Stock 5000 5000 D /s/David John Wolenski 2017-08-07