SEC Form 4 · accession 0001052918-15-000515
Jayhawk Energy, Inc. · JYHW
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Scott Mahoney
Officer — Interim President, CEO, CFO · Director
Period of report
Oct 8, 2015
Accepted (ET)
Oct 13, 2015 · 4:44 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 StockF1 | Oct 8, 2015 | P | 94,333,678 | $0.005 | A | 118,874,159 | I | By Vast Exploration, LLC |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WarrantsF1 | $0.005 | Oct 8, 2015 | P | 94,333,678 | A | Oct 8, 2015 | Oct 7, 2020 | Common stock | 94,333,678 | 118,874,159 | I |
Explanation of responses
- F1Vast Exploration, LLC beneficially owns 118,749,788 shares of common stock and pursuant to the terms of certain Convertible Debentures, a Revolving Credit Note, and Warrants held by Vast Exploration, LLC. The aggregate amount of securities Vast Exploration, LLC beneficially owns may be increased by an additional 266,890,641 shares of common stock for a total of 385,640,429 shares of common stock, subject to an increase in common stock capital authorized for issuance. The Issuer, Jayhawk Energy, Inc. has insufficient authorized common stock capital to permit Vast Exploration, LLC to convert its 10% Convertible Debentures, the balance due on the Revolving Credit Note or its Warrants until such time as JayHawk amends its Articles of Incorporation to authorize an increase in common stock capital.
Remarks
Scott Mahoney, as the CEO and Manager 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.