SEC Form 4/A · accession 0001140361-17-023492
Fortem Resources Inc. · STBR
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
Marc A Bruner
10% Owner
Period of report
May 17, 2017
Accepted (ET)
Jun 2, 2017 · 3:11 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001382231
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | May 17, 2017 | J | 7,500,000 | $2.00 | A | 17,500,000 | I | MAB Resources Holdings, LLC |
| Common Stock | holding | — | — | — | 20,000,000 | I | Blue Phoenix Energy, LLC |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1These shares were acquired as consideration for the sale of a membership interest held by Pacific Petroleum, LLC in City of Gold, LLC.