SEC Form 4 · accession 0001683168-17-000836
QS Energy, Inc. · QSEP
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Thomas A. Bundros
Director
Period of report
Apr 1, 2017
Accepted (ET)
Apr 6, 2017 · 8:19 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 | $0.07 | Apr 1, 2017 | A | 267,857 | A | Apr 1, 2017 | Apr 1, 2027 | Common Stock | 267,857 | 1,644,569 | D |
Explanation of responses
- F1The stock options reported under item 1 above were granted to Mr. Bundros, who on 03/29/2017 was appointed Chairman of the Audit Committee of the Board, effective 04/01/2017, as equity compensation for this role, under the Issuer's Board Compensation Policy, approved by the Board on 06/19/2015. The options granted under item 1 vest at the rate of 1/9 per month, commencing 04/01/2017, with full vesting on 12/31/2017.