SEC Form 5 · accession 0001511164-15-000114
XTREME GREEN ELECTRIC VEHICLES INC. · XGEV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Neil S Roth
Officer — Chief Operating Officer
Period of report
Dec 31, 2014
Accepted (ET)
Feb 18, 2015 · 4:18 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001392477
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Feb 4, 2014 | J | 0 | — | A | 2,383,328 | I | Spouse |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Under the Issuer's Plan of Reorganization (the "Plan") as approved by the Bankruptcy Court entered February 4, 2014 (the "Effective Date"), the reporting person's number of shares held prior to the Effective Date was reduced from 6,625,693 to 1,367,193 shares of Common Stock. In addition, in accordance with the Plan, the issuer issued an aggregate of 964,547 shares of Common Stock in settlement of debt owed to the reporting person.
- F2The total number of shares reported herewith includes 52,975 shares held by the reporting person's spouse whose 250,000 shares held prior to the Effective Date were reduced to 51,588 shares. In addition, in accordance with the Plan, she was issued 1,387 shares in settlement of debt.