SEC Form 4 · accession 0001104659-15-073112
CUBIC ENERGY INC · CBNR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Calvin Wallen III
Officer — President & CEO · Director · 10% Owner
Period of report
Oct 23, 2015
Accepted (ET)
Oct 27, 2015 · 4:15 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000319156
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series B Convertible Preferred StockF4,F1,F2,F3 | $0.50 | Oct 23, 2015 | A | 321 | A | — | — | Common Stock | 641,528 | 13,717 | I |
| Series B Convertible Preferred StockF4,F1,F2,F3 | $0.50 | Oct 23, 2015 | A | 60 | A | — | — | Common Stock | 119,292 | 2,551 | D |
| Series B Convertible Preferred StockF4,F1,F2,F3 | $0.50 | Oct 23, 2015 | A | 51 | A | — | — | Common Stock | 101,526 | 2,171 | I |
Explanation of responses
- F1The Series B Convertible Preferred Stock is convertible into Common Stock of Cubic Energy, Inc. at a price of $0.50. The stated value per share is $1,000.00.
- F2The Series B Convertible Preferred Stock is convertible into Common Stock, subject to limitations whereby the holder may convert no more than 25% of the shares per quarter.
- F3The Series B Convertible Preferred Stock has no expiration date.
- F4The Series B Convertible Preferred Stock was issued in satisfaction of an accrued dividend.