Form4insider filings, from the source

SEC Form 4/A · accession 0001052918-15-000209

Jayhawk Energy, Inc. · JYHW

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Period of report
Apr 30, 2015
Accepted (ET)
May 7, 2015 · 6:03 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001308710

Table I — non-derivative securities

SecurityDateCodeSharesPriceA/DOwned afterD/INature of ownership
Common StockApr 30, 2015C118,749,788$0.01A118,749,788D

Table II — derivative securities

SecurityConv. / exercise priceDateCodeSharesA/DExercisableExpiresUnderlyingUnderlying sharesOwned afterD/I
10% Sr. Secured Convertible Debenture 12/09/2009F1$0.01Apr 30, 2015C26,984,215DApr 17, 2015—Common stock26,984,2150D
10% Sr. Secured Convertible Debenture 12/09/2009F1$0.01Apr 30, 2015C4,778,471DApr 17, 2015—Common stock4,778,4710D
10% Sr. Secured Convertible Debenture 4/21/2010F1$0.01Apr 30, 2015C71,716,358DApr 17, 2015—Common stock71,716,3580D
10% Sr. Secured Convertible Debenture 4/21/2010F2,F1$0.01Apr 30, 2015C15,270,744DApr 17, 2015—Common stock15,270,744107,996,438D

Explanation of responses

Remarks

(1) 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. (2) This Form 4/A (this "Amendment") is being filed by the Reporting Person to amend and restate the Form 4 originally filed by the Reporting Person with the Securities and Exchange Commission on May 4, 2015 (the "Original Form 4"). This Amendment revises the Original Form 4 by (i) updating Table I, Column 4 to correct the number of securities acquired, (ii) updating Table I, Column 5 to correct the number of securities beneficially owned following the reported transaction, (iii) updating Table II, Column 9 to correct the number of derivative securities beneficially owned following the reported transaction and (iv) amend Note 1 to correct the unpaid balance due under the Convertible Debentures as of April 30, 2015.