SEC Form 4 · accession 0001354488-16-008753
PEDEVCO CORP · PED
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Moore Clark
Officer — Executive Vice President
Period of report
Dec 28, 2016
Accepted (ET)
Dec 30, 2016 · 5:21 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,F2 | Dec 28, 2016 | A | 1,050,000 | $0.11 | A | 2,024,049 | D | |
| Common StockF3 | holding | — | — | — | 57,334 | I | By minor 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 | 280,000 | 280,000 | D |
| Incentive Stock Option (Right to Buy) | $0.37 | holding | — | — | — | Jan 7, 2015 | Jan 7, 2020 | Common Stock | 270,000 | 270,000 | D |
| Common Stock Warrant (Right to Buy) | $2.34 | holding | — | — | — | Dec 16, 2013 | Dec 16, 2017 | Common Stock | 1,906 | 1,906 | D |
| Common Stock Warrant (Right to Buy) | $5.25 | holding | — | — | — | Mar 22, 2013 | Mar 22, 2017 | Common Stock | 953 | 953 | D |
| Incentive Stock Option (Right to Buy) | $0.51 | holding | — | — | — | Dec 18, 2012 | Jun 18, 2022 | Common Stock | 44,467 | 44,467 | D |
| Non-Qualified Stock Option (Right to Buy) | $0.51 | holding | — | — | — | Dec 18, 2012 | Jun 18, 2022 | Common Stock | 188,867 | 188,867 | D |
Explanation of responses
- F1Common 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.
- F2Reporting Person's holdings include: 33,334 shares, 115,265 shares, 140,000 shares, 243,000, 431,050 and 1,050,000 shares all issued pursuant to restricted stock grants, and 11,400 shares remaining of Founders Stock.
- F3Represents 28,667 shares of the Issuer's common stock owned by each of Reporting Person's two minor children.