SEC Form 4 · accession 0001610549-15-000032

FIELDPOINT PETROLEUM CORP · FPP

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

Reporting owner

10% Owner

Period of report

Nov 16, 2015

Accepted (ET)

Nov 19, 2015 · 6:33 pm EST

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0000316736

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock^F1,F2	Nov 16, 2015	S	10,000	$1.0801	D	52,274	I	By Brady Energy Corporation
Common Stock^F1,F2	Nov 17, 2015	S	1,501	$1.08	D	50,773	I	By Brady Energy Corporation
Common Stock^F1	holding	—	—		—	2,572,424	I	As administrator

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Warrants^F1,F2	$4.00	Nov 16, 2015	S	4,900	D	Mar 23, 2012	Mar 23, 2018	Common Stock	4,900	33,376	I
Warrants^F1,F2	$4.00	Nov 17, 2015	S	2,001	D	Mar 23, 2012	Mar 23, 2018	Common Stock	2,001	31,375	I
Warrants^F1,F2	$4.00	Nov 17, 2015	S	1,000	D	Mar 23, 2012	Mar 23, 2018	Common Stock	1,000	30,375	I
Warrants^F1	$4.00	holding	—	—	—	Mar 23, 2012	Mar 23, 2018	Common Stock	309,415	309,415	I

F1As administrator of the Estate of Rayford Darell Reaves, Jr.
F2The Estate of Rayford Darell Reaves, Jr. owns 100% of Brady Energy Corporation.