SEC Form 4 · accession 0001019687-15-000892
QS Energy, Inc. · QSEP
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Thomas A. Bundros
Director
Period of report
Mar 6, 2015
Accepted (ET)
Mar 10, 2015 · 1:48 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001103795
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Option to Purchase Common StockF1 | $0.46 | Jan 20, 2015 | A | 62,184 | A | Jan 20, 2015 | Jan 20, 2025 | Common Stock | 62,184 | 62,184 | D |
| Option to Purchase Common StockF1 | $0.46 | Jan 20, 2015 | A | 51,370 | A | Jan 20, 2016 | Jan 20, 2025 | Common Stock | 51,370 | 113,554 | D |
Explanation of responses
- F1The stock options reported herein were granted to reporting person as Board equity compensation, and ratified by the Board on March 6, 2015, effective January 20, 2015, the date of grant and reporting person's appointment to the Board.