SEC Form 3 · accession 0001477932-15-003042
FUEL PERFORMANCE SOLUTIONS, INC. · IFUE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Glenn Carr
Director
Period of report
Apr 30, 2015
Accepted (ET)
May 12, 2015 · 4:15 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001078723
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | holding | — | — | — | 301,725 | D | ||
| Common StockF1 | holding | — | — | — | 23,820,298 | I | See footnote 1 | |
| Common StockF1 | holding | — | — | — | 8,459,901 | I | See footnote 1 |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrant to Purchase Common StockF1 | $0.10 | holding | — | — | — | Dec 21, 2012 | Dec 21, 2017 | Common Stock | 625,000 | — | I |
| Option to Purchase Common StockF1 | $0.05 | holding | — | — | — | Jan 31, 2014 | Jan 31, 2019 | Common Stock | 696,960 | — | I |
| Option to Purchase Common StockF1 | $0.15 | holding | — | — | — | May 22, 2014 | May 22, 2019 | Common Stock | 3,000,000 | — | I |
Explanation of responses
- F1Held by the reporting person in his capacity as executor/trustee of the Estate of Rex Carr, deceased.