SEC Form 4 · accession 0001354488-16-008748
PEDEVCO CORP · PED
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael L Peterson
Officer — President and CEO
Period of report
Dec 28, 2016
Accepted (ET)
Dec 30, 2016 · 5:18 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001141197
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Dec 12, 2016 | G | 50,000 | $0.17 | D | 1,073,528 | D | |
| Common StockF2,F3 | Dec 28, 2016 | A | 1,650,000 | $0.11 | A | 2,723,528 | D | |
| Common StockF4 | holding | — | — | — | 5,209 | I | By The Peterson Family Trust | |
| Common StockF5 | holding | — | — | — | 36,668 | I | By dependent children |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Incentive Stock Option (Right to Buy) | $0.22 | holding | — | — | — | Jan 7, 2016 | Jan 7, 2021 | Common Stock | 300,000 | 300,000 | D |
| Incentive Stock Option (Right to Buy) | $0.37 | holding | — | — | — | Jan 7, 2015 | Jan 7, 2020 | Common Stock | 325,000 | 325,000 | D |
| Incentive Stock Option (Right to Buy) | $0.51 | holding | — | — | — | Dec 18, 2012 | Jun 18, 2022 | Common Stock | 63,800 | 63,800 | D |
| Non-Qualified Stock Option (Right to Buy) | $0.24 | holding | — | — | — | Mar 1, 2012 | Jan 7, 2021 | Common Stock | 100,000 | 100,000 | D |
| Non-Qualified Stock Option (Right to Buy) | $0.51 | holding | — | — | — | Dec 18, 2012 | Jun 18, 2022 | Common Stock | 269,534 | 269,534 | D |
| Non-Qualified Stock Option (Right to Buy) | $67.20 | holding | — | — | — | Sep 20, 2008 | May 28, 2018 | Common Stock | 447 | 447 | D |
| Non-Qualified Stock Option (Right to Buy) | $30.24 | holding | — | — | — | Feb 2, 2011 | Feb 2, 2021 | Common Stock | 2,977 | 2,977 | D |
Explanation of responses
- F1Common shares were transferred pursuant to a gift in a private transaction.
- F2Common stock of Issuer granted to Reporting Person and subject to forfeiture as follows: (i) 50% of the shares on the six (6) month anniversary of the Grant Date; (ii) 30% on the twelve (12) month anniversary of the Grant Date; and (iii) 20% on the eighteen (18) month anniversary of the Grant Date, in each case subject to the Recipient being an employee of, or consultant to, the Company on such vesting date, and subject to the terms and conditions of a Restricted Stock Agreement.
- F3Reporting Person's holdings include: 45,000, 198,750, 126,500, 115,000, 109,745, 470,935 and 1,650,000 shares all issued pursuant to restricted stock grants; 7,449 issued pursuant to debt conversion and 149 issued pursuant to a 2008 Blast Stock Grant.
- F4Represents shares held by the Peterson Family Trust, a Trust owned 100% by Mr. Peterson and his spouse.
- F5Represents shares of common stock 50% owned by each of Reporting Person's two dependent children.