SEC Form 4/A · accession 0001056520-15-000077
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
Lindsay Edward Gorrill
Director
Period of report
Jun 3, 2014
Accepted (ET)
Jun 4, 2015 · 9:48 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 | — | — | — | 576,112 | 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 | 20,000,000 | A | Jun 3, 2014 | Jun 3, 2019 | Common Stock | 20,000,000 | 20,000,000 | D |
| Secured Convertible Debentures | $0.01 | Apr 17, 2015 | J | 20,000,000 | D | Jun 3, 2014 | Jun 3, 2019 | Common Stock | 20,000,000 | 20,000,000 | D |