SEC Form 4 · accession 0001567619-18-005189
Fortem Resources Inc. · STBR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert Dacunha
Officer — Chief Financial Officer
Period of report
Nov 5, 2018
Accepted (ET)
Nov 6, 2018 · 6:51 pm EST
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 Shares | Nov 5, 2018 | X | 300,000 | $0.10 | A | 303,333 | D | |
| Common Shares | holding | — | — | — | 3,333 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Options | $0.10 | Nov 5, 2018 | X | 300,000 | D | Nov 3, 2015 | Nov 3, 2020 | Common | 300,000 | 0 | D |
| Stock Options | $0.10 | holding | — | — | — | Nov 3, 2015 | Nov 3, 2020 | Common | 300,000 | 300,000 | D |