SEC Form 4 · accession 0001580695-18-000491
Petrolia Energy Corp · BBLS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ivar Siem
Director
Period of report
Jun 1, 2018
Accepted (ET)
Nov 7, 2018 · 3:50 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 Shares (Restricted) | Jun 1, 2018 | P | 416,667 | $0.12 | A | 416,667 | I | American Resources Offshore Inc. |
| Common Shares | Jun 26, 2018 | P | 500,000 | $0.07 | A | 916,667 | I | American Resources Offshore Inc. |
| Common Shares | Jul 12, 2018 | P | 500,000 | $0.065 | A | 1,416,667 | I | American Resources Offshore Inc. |
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 | Jun 1, 2018 | A | 416,667 | A | Jun 1, 2018 | Jun 1, 2021 | Common Stock | 416,667 | 416,667 | I |
| Warrant | $0.10 | Jun 30, 2018 | A | 250,000 | A | Jun 30, 2018 | Jun 30, 2020 | Common Stock | 250,000 | 250,000 | D |