SEC Form 4 · accession 0001052918-15-000546
Ambient Water Corp · AWGI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Keith R White
Officer — CEO and Director · Director · 10% Owner
Period of report
Jun 4, 2015
Accepted (ET)
Oct 23, 2015 · 8:13 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001394872
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common stockF1 | Jun 4, 2015 | S | 50,000 | $0.0435 | D | 12,738,712 | I | Shares held by holding company. |
| Common stockF1 | Jun 4, 2015 | S | 50,000 | $0.041 | D | 12,688,712 | I | Shares held by holding company. |
| Common stockF1 | Jun 4, 2015 | S | 45,000 | $0.0434 | D | 12,643,712 | I | Shares held by holding company. |
| Common stockF1 | Jun 4, 2015 | S | 50,000 | $0.0531 | D | 12,593,712 | I | Shares held by holding company. |
| Common stockF1 | Jun 4, 2015 | S | 50,000 | $0.0437 | D | 12,543,712 | I | Shares held by holding company. |
| Common stockF1 | Jun 4, 2015 | S | 25,000 | $0.048 | D | 12,518,712 | I | Shares held by holding company. |
| Common stockF1 | Jun 4, 2015 | S | 50,000 | $0.051 | D | 12,468,712 | I | Shares held by holding company. |
| Common stock | holding | — | — | — | 14,941,438 | D | ||
| Common stockF1 | holding | — | — | — | 12,788,712 | I | Shares held by holding company. |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common stock optionsF2 | $0.11 | holding | — | — | — | — | Jul 22, 2023 | Common stock | 750,000 | 750,000 | D |
Explanation of responses
- F1Common stock registered to 0967761 BC, Ltd. Keith White has voting and dispositive control over the 0967761 BC, Ltd. shares.
- F2On July 22, 2013, the board of directors authorized the issuance of 750,000 common stock options to Keith White, the Company's Chief Executive Officer and Chief Technology Officer. These common stock options have an exercise price of $0.11 per share. On July 22, 2014, twenty-five percent (25%) of the options vested. Thereafter, the options vest at six and a quarter percent (6.25%) each quarter or 46,875 option shares quarterly. Vesting quarters are October 22, January 22, April 22 and July 22. The common stock options have a ten (10) year exercise term. At April 10, 2014, a total of 234,375 options shares had vested.