SEC Form 4 · accession 0001354488-15-001530
Brushy Resources, Inc.
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael J Pawelek
Officer — Chief Executive Officer · Director
Period of report
Mar 30, 2015
Accepted (ET)
Mar 31, 2015 · 6:19 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001554970
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Mar 30, 2015 | A | 116,550 | — | A | 116,550 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Options on Common StockF2 | $4.75 | holding | — | — | — | — | Aug 14, 2024 | Common Stock | 475,000 | 475,000 | D |
Explanation of responses
- F1Employee Grant
- F2150,000 options shall vest on July 15, 2015 and thereafter 12,500 shall vest on the 15th of each month thereafter as per the terms of his employment agreement until all options are vested, provided that the Mr. Pawelek is still providing services under his employment agreement and has provided such services continuously through the date of the vesting of such options.