SEC Form 4 · accession 0001683168-18-000322
QS Energy, Inc. · QSEP
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Eric Bunting
Director
Period of report
Feb 6, 2018
Accepted (ET)
Feb 6, 2018 · 5:22 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001103795
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Feb 6, 2018 | C | 179,710 | $0.07 | A | 8,014,530 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| OptionsF1 | $0.07 | Feb 6, 2018 | C | 179,710 | D | Apr 1, 2017 | Apr 1, 2027 | Common Stock | 179,710 | 0 | D |
Explanation of responses
- F1On 4/1/2017, the Issuer issued Reporting Person 535,714 options to purchase common stock as equity compensation under the Issuer's Board Compensation Policy, approved by the Board on 06/19/2015. On 02/06/2018, Reporting Person converted 179,710 of those vested options in 179,710 shares of common stock of Issuer.