SEC Form 5 · accession 0001647284-17-000001

GREENWAY TECHNOLOGIES INC · UMED

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Director

Period of report

Dec 31, 2016

Accepted (ET)

Apr 21, 2017 · 6:55 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001572386

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock	Nov 3, 2016	P	1,000,000	$0.0315	A	16,425,000	D
Common Stock^F1	holding	—	—		—	250,000	D
Common Stock^F2	holding	—	—		—	425,000	D
Common Stock^F3	holding	—	—		—	12,750,000	I	See Footnote
Common Stock^F4	holding	—	—		—	2,000,000	I	See Footnote

No Table II lines on this filing.

F1Mr. Jones directly owned a beneficial interest in these shares as of the date of the event which made Mr. Jones subject to Section 16 (elected as a director on 03/07/2016). A Form 3 was not filed at that time.
F2Mr. Jones directly owned a beneficial interest in these shares through the ownership of such shares by his spouse, Christine Earley, in the form of community property, as of the date of the event which made Mr. Jones subject to Section 16 (elected as a director on 03/07/2016). A Form 3 was not filed at that time.
F3Mr. Jones indirectly owned a beneficial interest in these shares through the ownership of such shares by Mabert LLC, a Texas limited liability company, as of the date of the event which made Mr. Jones subject to Section 16 (elected as a director on 03/07/2016). A Form 3 was not filed at that time.
F4Mr. Jones indirectly owned a beneficial interest in these shares through the ownership of such shares by his trust, Equity Trust Company Custodian FBO Kevin Jones, as of the date of the event which made Mr. Jones subject to Section 16 (elected as a director on 03/07/2016). A Form 3 was not filed at that time.