SEC Form 4 · accession 0001534122-16-000084
Triton Emission Solutions Inc. · DSOX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert C. Kopple
Director · 10% Owner
Period of report
Jan 8, 2016
Accepted (ET)
Feb 25, 2016 · 1:01 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001143238
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WarrantsF1 | $0.10 | Jan 8, 2016 | J | 1,194,332 | A | Jan 8, 2016 | Sep 1, 2021 | Common Stock | 1,194,332 | 1,194,332 | I |
| WarrantsF1 | $0.10 | Jan 8, 2016 | J | 1,337,320 | A | Jan 8, 2016 | Sep 1, 2021 | Common Stock | 1,337,320 | 2,531,652 | I |
| WarrantsF2 | $0.10 | Jan 8, 2016 | J | 8,000,000 | A | Jan 8, 2016 | Jan 15, 2021 | Common Stock | 8,000,000 | 26,854,546 | I |
| 10% Convertible NotesF3 | $0.10 | Jan 8, 2016 | P | — | A | Jan 8, 2016 | Jan 15, 2017 | Common Stock | 15,000,000 | — | I |
Explanation of responses
- F1Warrants were issued in consideration for extension of maturity date of loans granted to the Issuer.
- F2Warrants were issued as partial consideration for grant of loan / convertible notes of $1,500,000.
- F3Interest and principal is convertible at $0.10. No. of underlying shares does not include shares issuable on conversion of interest.
Remarks
The filing of this statement shall not be deemed an admission that the Reporting Person is the beneficial owner of any of the equity securities listed in this statement for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or otherwise.