SEC Form 4 · accession 0001185185-15-001738
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
Jun 26, 2015
Accepted (ET)
Jun 30, 2015 · 8:02 pm 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 - Restricted | Jun 26, 2015 | P | 300,000 | $0.10 | A | 2,196,667 | I | Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrants | $0.12 | Jun 26, 2015 | P | 300,000 | A | Jun 26, 2015 | Aug 5, 2018 | Common Shares | 300,000 | 300,000 | I |