SEC Form 4 · accession 0001610543-15-000019
FIELDPOINT PETROLEUM CORP · FPP
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Donald F. Carnes
10% Owner
Period of report
Sep 15, 2015
Accepted (ET)
Sep 22, 2015 · 1:37 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000316736
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrants | $4.00 | Sep 15, 2015 | S | 20,000 | D | Mar 23, 2012 | Mar 23, 2018 | Common Stock | 20,000 | 341,325 | I |
| Warrants | $4.00 | Sep 15, 2015 | S | 31,910 | D | Mar 23, 2012 | Mar 23, 2018 | Common Stock | 31,910 | 309,415 | I |