Filing Details
- Accession Number:
- 0001683168-17-001326
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2017-05-17 16:54:07
- Reporting Period:
- 2017-05-15
- Filing Date:
- 2017-05-17
- Accepted Time:
- 2017-05-17 16:54:07
- SEC Url:
- Form 4 Filing
Issuer
| Cik | Name | Symbol | Sector (SIC) | IRS No |
|---|---|---|---|---|
| 1103795 | Qs Energy Inc. | QSEP | Oil & Gas Field Machinery & Equipment (3533) | 522088326 |
Insiders
| Cik | Name | Reported Address | Insider Title | Director | Officer | Large Shareholder | Other |
|---|---|---|---|---|---|---|---|
| 1706453 | William Richard Munn | 23902 Fm 2978 Tomball TX 77375 | Yes | No | No | No |
Reported Non-Derivative Transactions
| Sec. Name | Acquisiton - Disposition | Date | Amount | Price | Remaning Holdings | Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
|---|---|---|---|---|---|---|---|---|---|---|
| Common Stock | Acquisiton | 2017-05-15 | 42,000 | $0.24 | 42,000 | No | 4 | P | Direct | |
| Common Stock | Acquisiton | 2017-05-15 | 220,000 | $0.05 | 262,000 | No | 4 | C | Direct |
| Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
|---|---|---|---|---|
| No | 4 | P | Direct | |
| No | 4 | C | Direct |
Reported Derivative Transactions
| Sec. Name | Sec. Type | Acquisiton - Disposition | Date | Amount | Price | Amount - 2 | Price - 2 |
|---|---|---|---|---|---|---|---|
| Common Stock | Convertible Note | Acquisiton | 2017-05-15 | 0 | $10,000.00 | 220,000 | $0.05 |
| Common Stock | Warrants | Acquisiton | 2017-05-15 | 110,000 | $0.00 | 110,000 | $0.05 |
| Common Stock | Convertible Note | Disposition | 2017-05-15 | 0 | $11,000.00 | 220,000 | $0.05 |
| Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
|---|---|---|---|---|---|---|
| 470,000 | 2017-05-15 | No | 4 | A | Direct | |
| 580,000 | 2017-05-15 | 2018-05-15 | No | 4 | A | Direct |
| 360,000 | No | 4 | D | Direct |
Footnotes
- Reporting Person acquired Issuer's Convertible Note in the principal amount of $11,000, for a purchase price of $10,000, convertible into 220,000 shares of common stock of Issuer.
- Not Applicable.
- Reporting Person acquired Issuer's Warrants as part of Reporting Person's purchase of Issuer's Convertible Note reported above.
- Reporting Person converted the Convertible Note listed above and described in Footnote 1 of this Form 4.
Billionaire Hedge Funds
