SEC Form 4/A · accession 0001185185-18-000206
Petrolia Energy Corp · BBLS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Joel Martin Oppenheim
Director
Period of report
May 23, 2017
Accepted (ET)
Feb 13, 2018 · 4:14 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 StockF2 | Aug 1, 2017 | M | 2,000,000 | $0.14 | A | 3,270,000 | D | |
| Common StockF3 | Sep 15, 2017 | M | 1,035,000 | $0.06 | A | 4,305,000 | D | |
| Preferred StockF4 | May 26, 2017 | A | 17,590 | $10.00 | A | 17,590 | D | |
| Preferred StockF5 | Jun 2, 2017 | A | 2,900 | $10.00 | A | 20,590 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WarrantF2 | $0.14 | Aug 1, 2017 | P | 2,000,000 | A | Aug 1, 2017 | Aug 1, 2020 | Common | 2,000,000 | 4,537,500 | D |
| WarrantF3 | $0.06 | Sep 15, 2017 | C | 1,035,000 | D | Sep 23, 2015 | Sep 23, 2018 | Common | 1,035,000 | 3,502,500 | D |
| WarrantF1,F6 | $0.12 | May 23, 2017 | P | 500,000 | A | May 23, 2017 | May 23, 2020 | Common | 500,000 | 2,267,500 | D |
| WarrantF1,F7 | $0.22 | May 23, 2017 | P | 270,000 | A | May 23, 2017 | May 23, 2020 | Common | 270,000 | 2,537,500 | D |
Explanation of responses
- F1The original Form 4 indicated an earliest transaction date of 05/23/2017, it should have been 08/01/17.
- F2The original Form 4 filed on 11/16/2017 erroneously reported the number 280,000. The correct number is 2,000,000 Common Shares and was previously reported on 09/15/2017. Additionally, 2,000,000 Warrants @ $0.14/share, exercisable for 3 years from transaction date, were issued in connection with the board-approved transaction that helped to guarantee a $200,000 Line of credit. The details will be disclosed in the forthcoming 2017 10-k filing.
- F3The original Form 4 filed on 11/16/2017 erroneously reported the number 62,065. The correct number is 1,035,000 Common Shares. The disposition of warrants associated with this transaction was a collection of smaller warrant issuances that were all set at a $0.06/share conversion rate.
- F4The original Form 4 filed on 11/16/2017 erroneously reported the number 175,900. The correct number is 17,590 Preferred Shares and was previously reported form 4, dated 06/16/2017.
- F5The original Form 4 filed on 11/16/2017 erroneously reported the number 29,000. The correct number is 2,900 Preferred shares.
- F6The original Form 4 filed on 11/16/2017 erroneously reported the issuance of 500,000 warrants twice; once in the original Form 4 dated 06/16/2017 and the original Form 4, dated 11/16/2017.
- F7The original Form 4 filed on 11/16/2017 erroneously reported the issuance of 270,000 warrants twice; once in the original Form 4 dated 06/16/2017 and the original Form 4, dated 11/16/2017.
Remarks
All other line items previously reported on the original Form 4 have been omitted from this Form 4/A as they have not changed.