SEC Form 4 · accession 0001185185-16-005330
Petrolia Energy Corp · BBLS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Leo B Womack
Director
Period of report
May 1, 2015
Accepted (ET)
Aug 24, 2016 · 7:01 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 | May 1, 2015 | A | 300,000 | $0.06 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrant | $0.10 | Feb 1, 2016 | P | 10,000 | A | Feb 1, 2016 | Feb 1, 2019 | Common Stock | 10,000 | 2,476,667 | D |
| Warrant | $0.06 | Jul 13, 2016 | P | 10,000 | A | Jul 13, 2016 | Jul 13, 2019 | Common Stock | 10,000 | 2,486,667 | D |
| Warrant | $0.08 | Aug 5, 2016 | P | 10,000 | A | Aug 5, 2016 | Aug 5, 2019 | Common Stock | 10,000 | 2,496,667 | D |
| Warrant | $0.08 | Aug 10, 2016 | P | 10,000 | A | Aug 5, 2016 | Aug 5, 2019 | Common Stock | 10,000 | 2,506,667 | D |