ClearSign Technologies Corp — Director's Dealing 2012

Apr 24, 2012

SEC Form 3 — Initial Statement of Beneficial Ownership

Issuer: CLEARSIGN COMBUSTION CORP (CLIR)
CIK: 0001434524
Period of Report: 2012-04-23

Reporting Person: RUTKOWSKI RICHARD F (Director, CEO and President, 10% Owner)

Holdings (Non-Derivative)

Security	Shares	Ownership
Common Stock	156250	Direct

Holdings (Derivative)

Security	Exercise Price	Expiration	Underlying	Shares	Ownership
Option to purchase common stock	$2.20	2021-09-30	Common Stock (125000)		Direct

Footnotes

F1: Not included in the shares of common stock owned by Mr. Rutkowski are 240,000 shares owned by Rutkowski Family Trust I and 240,000 shares owned by Rutkowski Family Trust II (collectively, the "Family Trusts"). The Family Trusts are irrevocable trusts established for the benefit of each of Mr. Rutkowski's children. The trustee of the Family Trusts is Ronald P. Erickson.