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