SEC Form 4 · accession 0001052918-16-000753
Ambient Water Corp · AWGI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jeff Stockdale
Officer — President · Director · 10% Owner
Period of report
Jan 19, 2016
Accepted (ET)
Jan 21, 2016 · 4:50 pm EST
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 |
|---|---|---|---|---|---|---|---|---|
| Preferred Series A | Jan 19, 2016 | P | 42,269,005 | $0.0043 | A | 48,461,505 | D | |
| Common stock | holding | — | — | — | 6,192,500 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common Stock OptionsF1 | $0.11 | Jul 22, 2013 | P | 750,000 | A | — | Jul 22, 2023 | Common Stock | 750,000 | 421,875 | D |
| Common Stock OptionsF2 | $0.18 | Jul 10, 2012 | P | 13,742,000 | A | — | Jul 10, 2022 | Common Stock | 13,742,000 | 11,759,025 | D |
Explanation of responses
- F1This represents previously reported Stock Options dated July 22, 2013, updated for current vesting. As of 1/19/2016, a total of 421,875 option shares had vested.
- F2This represents previously reported Stock Options dated July 10, 2012, updated for current vesting. As of 1/19/2016, a total of 11,337,150 option shares had vested.