SEC Form 4/A · accession 0001214659-18-000197
POWIN ENERGY CORP · PWON
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
Geoffrey L. Brown
Officer — President · Director
Period of report
Dec 13, 2017
Accepted (ET)
Jan 4, 2018 · 4:43 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001468780
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Dec 13, 2016 | A | 1,469,000 | $0.00 | A | 1,558,961 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Incentive Stock Options | $1.35 | Jun 2, 2017 | A | 91,603 | A | Jan 1, 2018 | Jun 2, 2027 | Common Stock | 91,603 | 91,603 | D |
Explanation of responses
- F1The shares were issued pursuant to the terms of a Restricted Stock Award Agreement.
- F289,961 shares are held by Quidnick Energy Development LLC, of which the Reporting Person is the sole member.