SEC Form 4 · accession 0001185185-15-003196
Petrolia Energy Corp · BBLS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Lee H Lytton
Officer — Secretary · Director
Period of report
May 15, 2015
Accepted (ET)
Dec 1, 2015 · 7:53 pm EST
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) | May 15, 2015 | P | 200,000 | $0.10 | A | 333,334 | D | |
| Common Stock (Restricted) | Jun 16, 2015 | P | 100,000 | $0.10 | A | 433,334 | D | |
| Common Stock (Restricted) | Sep 9, 2015 | P | 200,000 | $0.06 | A | 633,334 | D |
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 | May 15, 2015 | P | 200,000 | A | May 15, 2015 | Aug 5, 2018 | Common Stock | 200,000 | 233,334 | D |
| Warrants | $0.12 | Jun 16, 2015 | P | 100,000 | A | Jun 16, 2015 | Aug 5, 2018 | Common Stock | 100,000 | 333,334 | D |
| Warrants | $0.12 | Sep 9, 2015 | P | 200,000 | A | Sep 9, 2015 | Aug 31, 2018 | Common Stock | 200,000 | 533,334 | D |
| Option | $0.06 | Sep 23, 2015 | P | 500,000 | A | Jan 1, 2016 | Dec 31, 2019 | Common Stock | 500,000 | 1,033,334 | D |