SEC Form 4 · accession 0001354488-16-008755
PEDEVCO CORP · PED
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Frank C Ingriselli
Director · Other
Period of report
Dec 28, 2016
Accepted (ET)
Dec 30, 2016 · 5:23 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 | 545,455 | $0.11 | A | 2,705,072 | D |
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) | $0.37 | holding | — | — | — | Jan 7, 2015 | Jan 7, 2020 | Common Stock | 370,000 | 370,000 | D |
| Common Stock Warrant (Right to Buy)F3 | $2.34 | holding | — | — | — | Dec 16, 2013 | Dec 16, 2017 | Common Stock | 38,096 | 38,096 | I |
| Common Stock Warrant (Right to Buy)F3 | $5.25 | holding | — | — | — | Mar 22, 2013 | Mar 22, 2017 | Common Stock | 19,048 | 19,048 | I |
| Non-Qualified Stock Option (Right to Buy) | $0.51 | holding | — | — | — | Dec 18, 2012 | Jun 18, 2022 | Common Stock | 348,267 | 348,267 | D |
| Incentive Stock Option (Right to Buy) | $0.51 | holding | — | — | — | Dec 18, 2012 | Jun 18, 2022 | Common Stock | 42,533 | 42,533 | D |
Explanation of responses
- F1Common stock of Issuer granted to Reporting Person pursuant to Issuer's 2012 Equity Incentive Plan and Issuer's Board of Director's Compensation Plan as Reporting Person's annual equity compensation grant. 100% of the shares will become vested and nonforfeitable on May 1, 2017 (Reporting Persons' anniversary date as a non-employee Director of Issuer), for so long as Reporting Person remains a Director, an employee of, or consultant to Issuer and subject to the terms and conditions of a Restricted Shares Grant Agreement.
- F2Reporting Person's holdings include: 233,705 held by spouse, 429,412 fully vested shares held directly, and 545,455 shares issued pursuant to a restricted stock grant; and 1,496,500 fully vested shares held by Global Venture Investments, Inc., an entity 100% owned and controlled by Reporting Person.
- F3Global Venture Investments, LLC is an entity 100% owned and controlled by Reporting Person.