0001555569-21-000006.txt : 20210915 0001555569-21-000006.hdr.sgml : 20210915 20210915131259 ACCESSION NUMBER: 0001555569-21-000006 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210811 FILED AS OF DATE: 20210915 DATE AS OF CHANGE: 20210915 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KORNELSEN VERN D CENTRAL INDEX KEY: 0001052516 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11789 FILM NUMBER: 211254995 MAIL ADDRESS: STREET 1: 4605 S. DENICE DR CITY: ENGLEWOOD STATE: CO ZIP: 80111 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ENCISION INC CENTRAL INDEX KEY: 0000930775 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 841162056 STATE OF INCORPORATION: CO FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: 6797 WINCHESTER CIRCLE CITY: BOULDER STATE: CO ZIP: 80301 BUSINESS PHONE: 3034442600 MAIL ADDRESS: STREET 1: 6797 WINCHESTER CIRCLE CITY: BOULDER STATE: CO ZIP: 80301 FORMER COMPANY: FORMER CONFORMED NAME: ELECTROSCOPE INC DATE OF NAME CHANGE: 19960502 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2021-08-11 0 0000930775 ENCISION INC ecia 0001052516 KORNELSEN VERN D 4605 S. DENICE DR ENGLEWOOD CO 80111 1 0 0 0 Common Stock 2021-08-11 4 M 0 10000 0.31 A 10000 D Employee Stock Option (right to buy) 0.31 2021-08-11 4 M 0 10000 0 A 2021-08-11 2021-11-10 Common Stock 10000 0 D On August 11, 2021, the reporting person cash exercised an existing outstanding stock option for 10,000 common shares with an option exercise price of .31 per share. Mala M Ray 2021-09-15