SEC Form 4 · accession 0001580695-18-000519
Petrolia Energy Corp · BBLS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Quinten Beasley
Other
Period of report
Sep 30, 2018
Accepted (ET)
Dec 7, 2018 · 3:54 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) | Oct 17, 2018 | A | 2,000,000 | $0.128 | A | 9,716,172 | I | Critical Communications LLC |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WarrantF2 | $0.10 | Sep 30, 2018 | A | 250,000 | A | Jan 1, 2019 | Jan 1, 2021 | Common Stock | 250,000 | 750,000 | I |
| WarrantF1 | $0.10 | Oct 17, 2018 | A | 2,000,000 | A | Oct 17, 2018 | Oct 17, 2020 | Common Stock | 2,000,000 | 2,750,000 | I |
Explanation of responses
- F1Mr. Beasley resigned from the board on October 17, 2018, to allow for Richard Dole to be appointed in his place. He received 2,000,000 shares and 2,000,000 warrants as part of his departure settlement for previous work.
- F2Mr. Beasley receives a 250,000-warrant issuance quarterly as part of his compensation 2018 compensation package for his service on the Board; exercisable for a 24 months period as of January 1, 2019.