SEC Form 4 · accession 0001493152-18-000461
INTERNATIONAL WESTERN PETROLEUM, INC. · NRIS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Patrick L. Norris
Officer — CEO, Pres, Sec, Treasurer · Director · 10% Owner
Period of report
Jan 10, 2018
Accepted (ET)
Jan 11, 2018 · 5:32 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001603793
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | holding | — | — | — | 21,500,000 | D | ||
| Common Stock | holding | — | — | — | 22,170,000 | I | Held through JBB Partners, Inc. |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Convertible Note | $0.20 | Jan 10, 2018 | A | 7,750,000 | A | Jan 10, 2018 | Dec 28, 2018 | Common Stock | 7,750,000 | 7,750,000 | I |