SEC Form 4 · accession 0001517744-17-000001
ZION OIL & GAS INC · ZN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ilan N Sheena
Other
Period of report
Dec 31, 2016
Accepted (ET)
Jan 3, 2017 · 4:51 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 | Dec 31, 2016 | M | 2,500 | $0.01 | A | 475,000 | I | ESOP Trust Company-FBO Ilan N. Sheena |
| Common Stock, Par Value $0.01F1,F2 | Dec 31, 2016 | M | 50,000 | $0.01 | A | 525,000 | I | ESOP Trust Company-FBO Ilan N. Sheena |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common Stock, Par Value $0.01F4,F3 | $0.01 | Dec 31, 2016 | M | 2,500 | A | — | Apr 1, 2026 | Common Stock Par Value $0.01 | 2,500 | 0 | I |
| Common Stock, Par Value $0.01F4 | $0.01 | Dec 31, 2016 | M | 50,000 | A | Dec 31, 2016 | Dec 31, 2026 | Common Stock Par Value $0.01 | 50,000 | 0 | I |
Explanation of responses
- F1These shares were acquired upon the exercise of stock options at a per share price of $0.01.
- F2Consists of 340,000 shares of Common Stock and Stock Options to purchase an additional 185,000 share of Common Stock.
- F33. A Stock Option was awarded under issuer's 2011 Stock Option Plan on April 1, 2016 in connection with the continued employment of the reporting person to purchase 10,000 shares at 0.01 per share of Common Stock and shall vest
- F4Not applicable