Filing Details

Accession Number:
0001580695-18-000493
Form Type:
4
Zero Holdings:
No
Publication Time:
2018-11-07 15:52:38
Reporting Period:
2018-07-24
Accepted Time:
2018-11-07 15:52:38
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1368637 Petrolia Energy Corp BBLS () 4
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1187993 Ivar Siem 710 N. Post Oak Rd., Ste. 512
Houston TX 77024
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 2018-07-24 468,750 $0.07 1,885,416 No 4 P Indirect American Resources Offshore Inc.
Common Stock Acquisiton 2018-08-15 547,755 $0.06 2,433,171 No 4 P Indirect American Resources Offshore Inc.
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect American Resources Offshore Inc.
No 4 P Indirect American Resources Offshore Inc.
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Warrants to Purchase Common Stock Acquisiton 2018-08-17 20,000 $0.00 20,000 $0.10
Common Stock Convertible Promissory Note Acquisiton 2018-08-17 0 $20,000.00 200,000 $0.10
Common Stock Options to Purchase Common Stock Acquisiton 2018-09-30 250,000 $0.00 250,000 $0.10
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
20,000 2018-08-17 2019-08-17 No 4 A Indirect
0 2018-08-17 2018-10-17 No 4 A Indirect
250,000 2018-09-30 2020-09-30 No 4 A Direct
Footnotes
  1. As additional consideration for entering into the Convertible Promissory Note on the same date (as described in the table above), the Issuer granted the Reporting Person one-year warrants to purchase one share of the Issuer's common stock at an exercise price of $0.10 per share for each dollar loaned pursuant to the Convertible Promissory Note. Exempt pursuant to Rule 16b3(d).
  2. The Convertible Promissory Note was due on October 17, 2018.
  3. Not including any shares issuable upon conversion of accrued interest. The Convertible Promissory Note accrues interest at the rate of 12% per annum until paid in full, which interest is convertible into shares of common stock on the same terms as the principal amount of the debt. Exempt pursuant to Rule 16b3(d).
  4. Issued in consideration for services rendered. Exempt pursuant to Rule 16b3(d).