SEC Form 4 · accession 0001185185-15-001279
Petrolia Energy Corp · BBLS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Leo B Womack
Director · 10% Owner
Period of report
Aug 15, 2014
Accepted (ET)
May 15, 2015 · 11:02 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001368637
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Aug 15, 2014 | A | 100,000 | $0.23 | A | 100,000 | D | |
| Common Stock | Aug 15, 2014 | P | 166,667 | $0.30 | A | 266,667 | I | Trust |
| Common Stock | May 12, 2015 | P | 1,630,000 | $0.08 | A | 1,896,667 | I | Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrant | $0.75 | Aug 15, 2014 | P | 166,667 | A | Aug 16, 2014 | Aug 5, 2019 | Common Stock | 166,667 | 166,667 | I |