SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Kelly Dennis Richard

(Last) (First) (Middle)
230 GILL WAY

(Street)
ROCK HILL SC 29730

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
04/27/2018
3. Issuer Name and Ticker or Trading Symbol
GlyEco, Inc. [ GLYE ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
EVP-Industrial Segment
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 509,900(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. In 2017, prior to becoming a reporting person, Mr. Kelly was granted 250,000 restricted shares of common stock with respect to his initial offer letter with the Company. Such shares vest at a thirty(30)-day volume weighted average price of $0.20 per shares. Additionally, in 2017, Mr. Kelly purchased 9,900 restricted shares of common stock through the Company's Equity Incentive Program. In 2018, Mr. Kelly was awarded a grant of 200,000 restricted shares of common stock to be issued as follows: 100,000 shares of which shall be granted upon the Company becoming EBITDA Positive; and 100,000 shares which shall be granted upon the Company achieving positive net income. Additionally, in 2018, Mr. Kelly was awarded a separate grant of 50,000 restricted shares of common stock to be issued as follows: 25,000 shares of which shall be granted upon the Company becoming EBITDA Positive; and 25,000 shares which shall be granted upon the Company achieving positive net income.
/s/ Dennis Kelly 05/22/2018
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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