SEC Form 4/A · accession 0001056520-15-000039
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).
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Lindsay Edward Gorrill
Director
Period of report
Jun 3, 2014
Accepted (ET)
Apr 27, 2015 · 11:36 am 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 | holding | — | — | — | 5,076,112 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Secured Convertible Debentures | $0.01 | Jun 3, 2014 | P | 40,000,000 | A | Jun 3, 2014 | Jun 3, 2019 | Common Stock | 20,000,000 | 40,000,000 | D |
| Secured Convertible Debentures | $0.01 | Apr 17, 2015 | J | 40,000,000 | D | Jun 3, 2014 | Jun 3, 2019 | Common Stock | 20,000,000 | 0 | D |
Explanation of responses
- F1Shareholder sold the Secured Convertible Debenture to an unrelated third-party in exchange for a promissory note in the face amount of $200,000.