SEC Form 4 · accession 0001052918-15-000197
Jayhawk Energy, Inc. · JYHW
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
Scott Mahoney
Director · 10% Owner
Period of report
Apr 30, 2015
Accepted (ET)
May 4, 2015 · 7:09 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001308710
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common stock | Apr 30, 2015 | C | 118,249,788 | $0.01 | A | 118,249,788 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 10% Sr. Secured Convertible Debenture 12/09/2009F1 | $0.01 | Apr 30, 2015 | C | 26,984,215 | D | Apr 17, 2015 | — | Common stock | 26,984,215 | 0 | D |
| 10% Sr. Secured Convertible Debenture 12/09/2009F1 | $0.01 | Apr 30, 2015 | C | 4,778,471 | D | Apr 17, 2015 | — | Common stock | 4,778,471 | 0 | D |
| 10% Sr. Secured Convertible Debenture 4/21/2010F1 | $0.01 | Apr 30, 2015 | C | 71,716,358 | D | Apr 17, 2015 | — | Common stock | 71,716,358 | 0 | D |
| 10% Sr. Secured Convertible Debenture 4/21/2010F2,F1 | $0.01 | Apr 30, 2015 | C | 15,270,744 | D | Apr 17, 2015 | — | Common stock | 15,270,744 | 108,496,438 | D |
Explanation of responses
- F1None
- F2The number of Derivative Securities Beneficially owned represents additional unpaid 10% Convertible Debentures with an unpaid balance of $1,084,964.38 as of April 30, 2015. The Issuer, Jayhawk Energy, Inc. has insufficient authorized common stock capital to permit the Debenture Holder to convert anymore debentures until such time as Jayhawk amends its Articles of Incorporation thereby authorizing an increase in common stock capital.
Remarks
Scott Mahoney, as the CEO and Managing Member of Vast Exploration, LLC is the natural person with voting and dispositive control over Vast Exploration, LLC and is deemed to be a beneficial owner. Mr. Mahoney disclaims beneficial ownership of the Vast Exploration, LLC shares.