SEC Form 4 · accession 0001501273-16-000006
ZION OIL & GAS INC · ZN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Victor G Carrillo
Officer — Chief Executive Officer · Director
Period of report
Dec 31, 2015
Accepted (ET)
Jan 6, 2016 · 5:48 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001131312
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, Par Value $0.01F1 | Jan 5, 2016 | M | 25,000 | $0.01 | A | 430,693 | D | |
| Common Stock, Par Value $0.01F2 | Jan 5, 2016 | M | 50,000 | $0.01 | A | 430,693 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common Stock OptionF3,F5,F4 | $0.01 | Dec 31, 2015 | A | 25,000 | A | — | Dec 31, 2025 | Common Stock, Par Value $0.01 | 25,000 | 25,000 | D |
| Common Stock OptionF3,F5,F4 | $0.01 | Jan 5, 2016 | M | 25,000 | D | — | Dec 31, 2025 | Common Stock, Par Value $0.01 | 25,000 | 0 | D |
| Common Stock OptionF6,F5,F4 | $0.01 | Jan 5, 2016 | M | 50,000 | D | — | Sep 30, 2025 | Common Stock, Par Value $0.01 | 50,000 | 0 | D |
Explanation of responses
- F1Comprised of 85,000 shares of Common Stock and Stock Options to purchase an additional 345,693 shares of Common Stock.
- F2Comprised of 135,000 shares of Common Stock and Stock Options to purchase an additional 295,693 shares of Common Stock.
- F3Fully vested, Non Qualified Stock Options were granted 12/31/2015, from the Issuer's 2011 Equity Incentive Plan, to purchase 25,000 shares of Common Stock, Par Value $0.01 at an exercise price of $0.01 per share.
- F4The options are exercisable upon grant.
- F5Not applicable.
- F6Fully vested, Non Qualified Stock Options were granted 10/1/2015, from the Issuer's 2011 Equity Plan to purchase 50,000 shares of Common Stock, par value $0.01, at an exercise price of $0.01 per share.