SEC Form 4 · accession 0001580695-18-000106
Petrolia Energy Corp · BBLS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James Edward Burns
Officer — President · Director
Period of report
Nov 29, 2017
Accepted (ET)
Feb 15, 2018 · 4:49 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 | Nov 29, 2017 | P | 288,356 | $0.075 | A | 2,538,356 | D | |
| Common Stock | Dec 31, 2017 | A | 350,000 | $0.12 | A | 2,888,356 | D | |
| Common Stock | Jan 15, 2018 | A | 616,210 | $0.10 | A | 3,504,566 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrants to Purchase Common Stock | $0.14 | Dec 31, 2017 | A | 250,000 | A | Dec 31, 2017 | Dec 31, 2020 | Common | 250,000 | 886,667 | D |