QUANTUM FUEL SYSTEMS TECHNOLOGIES WORLDWIDE, INC. 4

Accession 0000899243-16-025129

CIK 0001166380operating

View on SEC.gov Company Profile

Filed

Jul 13, 8:00 PM ET

Accepted

Jul 14, 4:00 PM ET

Size

18.8 KB

Accession

0000899243-16-025129

Insider Transaction Report

Form 4

Period: 2016-07-13

QUANTUM FUEL SYSTEMS TECHNOLOGIES WORLDWIDE, INC.QTWW

DOUGLAS KEVIN

10% OwnerOther

Transactions

Other
Convertible Note
2016-07-13−4,000,000→ 0 total
Exercise: $2.38From: 2013-09-18Exp: 2018-09-17→ Common Stock (4,000,000 underlying)
Other
Convertible Note
2016-07-13−6,000,000→ 0 total(indirect: By Trust)
Exercise: $2.38From: 2013-09-18Exp: 2018-09-17→ Common Stock (6,000,000 underlying)
Other
Convertible Note
2016-07-13−600,000→ 0 total
Exercise: $2.38From: 2015-06-30Exp: 2018-09-17→ Common Stock (600,000 underlying)
Other
Convertible Note
2016-07-13−900,000→ 0 total(indirect: By Trust)
Exercise: $2.38From: 2015-06-30Exp: 2018-09-17→ Common Stock (900,000 underlying)

Douglas Michelle

10% OwnerOther

Transactions

Other
Convertible Note
2016-07-13−600,000→ 0 total
Exercise: $2.38From: 2015-06-30Exp: 2018-09-17→ Common Stock (600,000 underlying)
Other
Convertible Note
2016-07-13−4,000,000→ 0 total
Exercise: $2.38From: 2013-09-18Exp: 2018-09-17→ Common Stock (4,000,000 underlying)
Other
Convertible Note
2016-07-13−900,000→ 0 total(indirect: By Trust)
Exercise: $2.38From: 2015-06-30Exp: 2018-09-17→ Common Stock (900,000 underlying)
Other
Convertible Note
2016-07-13−6,000,000→ 0 total(indirect: By Trust)
Exercise: $2.38From: 2013-09-18Exp: 2018-09-17→ Common Stock (6,000,000 underlying)

JAMES & JEAN DOUGLAS IRREVOCABLE DESCENDANTS TRUST

10% OwnerOther

Transactions

Other
Convertible Note
2016-07-13−6,000,000→ 0 total(indirect: By Trust)
Exercise: $2.38From: 2013-09-18Exp: 2018-09-17→ Common Stock (6,000,000 underlying)
Other
Convertible Note
2016-07-13−4,000,000→ 0 total
Exercise: $2.38From: 2013-09-18Exp: 2018-09-17→ Common Stock (4,000,000 underlying)
Other
Convertible Note
2016-07-13−900,000→ 0 total(indirect: By Trust)
Exercise: $2.38From: 2015-06-30Exp: 2018-09-17→ Common Stock (900,000 underlying)
Other
Convertible Note
2016-07-13−600,000→ 0 total
Exercise: $2.38From: 2015-06-30Exp: 2018-09-17→ Common Stock (600,000 underlying)

Footnotes (7)

[F1]These shares are held directly and jointly by Kevin Douglas and Michelle Douglas.
[F2]Each of the reporting persons hereunder (individually, a "Reporting Person" and collectively the "Reporting Persons") may be deemed a member of a "group" within the meaning of Section 13(d)(3) of the Securities and Exchange Act of 1934, as amended (the "Exchange Act") or Rule 13d-5 promulgated under the Exchange Act, with one or more of the other Reporting Persons. Although the Reporting Persons are reporting such securities as if they were members of a "group", the filing of this Form 4 shall not be deemed an admission by any Reporting Person that such Reporting Person is a beneficial owner of any securities other than those directly held by such Reporting Person.
[F3]These shares are held directly by the James Douglas and Jean Douglas Irrevocable Descendants' Trust and indirectly by Kevin Douglas and Michelle Douglas. Kevin Douglas and Michelle Douglas, husband and wife, are each a co-trustee of the James Douglas and Jean Douglas Irrevocable Descendants' Trust.
[F4]The convertible note is convertible into shares of common stock at any time after the date of issuance.
[F5]Represents the scheduled maturity date of the convertible note. The maturity date is subject to a put right that may be exercised within a 30 day period following July 1, 2017. If the put right is exercised, then the expiration date would be 90 days following the Reporting Person's exercise of the put right.
[F6]Represents the face value of the convertible note.
[F7]On July 13, 2016, the convertible notes were canceled in connection with the closing of the Issuer's Section 363 sale of substantially all of its assets pursuant to an Asset Purchase Agreement, as amended, by and among the Issuer, Douglas Acquisitions LLC, the K&M Douglas Trust and the James Douglas and Jean Douglas Irrevocable Descendant's Trust, which was entered into in connection with the Issuer's Chapter 11 bankruptcy case.

Documents

1 file

4
doc4.xmlPrimary
FORM 4 SUBMISSION

Issuer

QUANTUM FUEL SYSTEMS TECHNOLOGIES WORLDWIDE, INC.

CIK 0001166380

→

Entity typeoperating

IncorporatedDE

Related Parties

filerCIK 0001166380

Filing Metadata

Form type: 4
Filed: Jul 13, 8:00 PM ET
Accepted: Jul 14, 4:00 PM ET
Size: 18.8 KB

View on SEC.gov