SEC Form 4 · accession 0001493152-18-012697
BLUE BIOFUELS, INC. · BIOF
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Period of report
Aug 25, 2018
Accepted (ET)
Aug 29, 2018 · 5:08 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001549145
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, par value $0.001 | holding | — | — | — | 6,250,000 | D | ||
| Common Stock, par value $0.001 | holding | — | — | — | 6,250,000 | I | Held in name of spouse |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrant to purchase Common Stock, $0.001 par value | $0.10 | Aug 25, 2018 | J | 1,000,000 | D | May 15, 2018 | May 15, 2023 | Common Stock | 1,000,000 | 0 | D |
| Warrant to purchase Common Stock, $0.001 par value | $0.10 | Aug 25, 2018 | J | 1,000,000 | D | May 15, 2018 | May 15, 2023 | Common Stock | 1,000,000 | 0 | I |
Explanation of responses
- F1Pursuant to an agreement between the reporting person and the issuer, the reporting person agreed to forfeit the warrant for good and valuable consideration.
- F2Pursuant to an agreement between the reporting person's spouse and the issuer, the reporting person's spouse agreed to forfeit the warrant for good and valuable consideration.