SEC Form 4 · accession 0001185185-17-001396
Petrolia Energy Corp · BBLS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Paul M Deputy
Officer — Chief Financial Officer
Period of report
Jun 6, 2017
Accepted (ET)
Jun 15, 2017 · 7:59 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 |
|---|---|---|---|---|---|---|---|---|
| Preferred Stock | May 23, 2017 | A | 1,500 | $10.00 | A | 1,500 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrant | $0.20 | May 23, 2017 | P | 30,000 | A | Jun 6, 2017 | Jun 6, 2020 | Common Stock | 30,000 | 30,000 | D |
| Warrant | $0.06 | Sep 30, 2016 | P | 6,250 | A | Sep 30, 2016 | Sep 30, 2019 | Common Stock | 6,250 | 36,250 | D |
| Warrant | $0.20 | Sep 30, 2016 | P | 11,666 | A | Sep 30, 2016 | Sep 30, 2019 | Common Stock | 11,666 | 47,916 | D |
| Warrant | $0.14 | Dec 31, 2016 | P | 35,000 | A | Dec 31, 2016 | Dec 31, 2019 | Common Stock | 35,000 | 82,916 | D |
| Warrant | $0.14 | Mar 31, 2017 | P | 35,000 | A | Mar 31, 2017 | Mar 31, 2020 | Common Stock | 35,000 | 117,916 | D |