0001181431-11-047553.txt : 20110831
0001181431-11-047553.hdr.sgml : 20110831
20110831153034
ACCESSION NUMBER: 0001181431-11-047553
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110831
FILED AS OF DATE: 20110831
DATE AS OF CHANGE: 20110831
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: PACE DANIEL J
CENTRAL INDEX KEY: 0001265772
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-21810
FILM NUMBER: 111068481
MAIL ADDRESS:
STREET 1: 500 TOWN CENTER DR.,
STREET 2: SUITE 200
CITY: DEARBORN
STATE: MI
ZIP: 48126
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: AMERIGON INC
CENTRAL INDEX KEY: 0000903129
STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLE PARTS & ACCESSORIES [3714]
IRS NUMBER: 954318554
STATE OF INCORPORATION: MI
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 21680 HAGGERTY ROAD
CITY: NORTHVILLE
STATE: MI
ZIP: 48167-8994
BUSINESS PHONE: 248-504-0500
MAIL ADDRESS:
STREET 1: 21680 HAGGERTY ROAD
CITY: NORTHVILLE
STATE: MI
ZIP: 48167-8994
4
1
rrd321083.xml
DAN PACE EXERCISE
X0304
4
2011-08-31
0
0000903129
AMERIGON INC
ARGN
0001265772
PACE DANIEL J
21680 HAGGERTY ROAD
SUITE 101
NORTHVILLE
MI
48167
0
1
0
0
VP Sales & Marketing
Common Stock
2011-08-31
4
M
0
11667
8.02
A
42602
D
Common Stock
2011-08-31
4
M
0
16667
2.62
D
59269
D
Common Stock
2011-08-31
4
S
0
28334
13.5
D
30935
D
Option to Purchase Common Stock
8.02
2011-08-31
4
M
0
11667
0
D
2011-06-30
2018-07-23
Common Stock
11667
0
D
Option to Purchase Common Stock
2.62
2011-08-31
4
M
0
16667
0
D
2011-03-11
2019-03-11
Common Stock
16667
0
D
This amount represents the total number of Derivative Securities Beneficially Owned of the class shown (i.e. the same exercise price and expiration date). After giving effect to all of the transactions reported on this Form 4, the Reporting Person owns a total of 16,667 Options to Purchase Common Stock of varying classes (i.e. varying exercise prices and expiration dates).
/s/ Daniel J. Pace
2011-08-31