SEC Form 5 · accession 0001548197-15-000001
ZION OIL & GAS INC · ZN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Justin Wayne Furnace
Director
Period of report
Dec 31, 2014
Accepted (ET)
Jan 28, 2015 · 3:32 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001131312
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common Stock OptionF2,F4,F3 | $1.67 | Oct 1, 2014 | A | 40,000 | A | — | Oct 1, 2020 | Common Stock Par Value $0.01 | 40,000 | 40,000 | D |
Explanation of responses
- F1This Form 5 is being filed to re-transmit a Form 4 filed on October 14, 2014, but was suspended on October 16, 2014 due to "Invalid Reporting File Number Block. The reporting file number for CIK 0001548197 does not have a valid prefix".
- F2On October 2, 2014, the Issuer grants the Reporting Person Non-Qualified Stock Options from the Issuer's 2011 Non-Employee Director's Stock Option Plan to purchase 40,000 shares of Common Stock at an exercise price of $1.67 per share.
- F3Options were fully vested and exercisable upon grant.
- F4Not applicable.