Lustros Inc.|5Dec 15, 9:49 AM ET

Lustros Inc. 5

5 · Lustros Inc. · Filed Dec 15, 2014

Form 5

Period: 2014-12-31

Director

Transactions

Purchase
Convertible Note
2014-03-31$150000.00/sh+937,500$140,625,000,000→ 937,500 total(indirect: Held by Bass Energy Inc.)
Exercise: $0.16From: 2014-03-31Exp: 2016-03-31→ Common Stock (937,500 underlying)
Purchase
Convertible Note
2014-06-30$613036.00/sh+3,831,475$2,348,832,108,100→ 4,768,975 total(indirect: Held by Bass Energy Inc.)
Exercise: $0.16From: 2014-06-30Exp: 2016-06-30→ Common Stock (3,831,475 underlying)
Purchase
Convertible Note
2014-09-30$360797.00/sh+2,254,981$813,590,379,857→ 7,023,956 total(indirect: Held by Bass Energy Inc.)
Exercise: $0.16From: 2014-09-30Exp: 2016-09-30→ Common Stock (2,254,981 underlying)
Purchase
Warrant
2014-03-31+187,500→ 7,211,456 total(indirect: Held by Bass Energy Inc.)
Exercise: $0.25From: 2014-03-31Exp: 2016-03-31→ Common Stock (187,500 underlying)
Purchase
Warrant
2014-06-30+766,295→ 7,977,751 total(indirect: Held by Bass Energy Inc.)
Exercise: $0.25From: 2014-06-30Exp: 2016-06-30→ Common Stock (766,295 underlying)
Purchase
Warrant
2014-09-30+450,996→ 8,428,747 total(indirect: Held by Bass Energy Inc.)
Exercise: $0.25From: 2014-09-30Exp: 2016-09-30→ Common Stock (450,996 underlying)

Footnotes (4)

[F1]Mr. Hlavin is the President and Owner of Bass Energy, Inc.
[F2]Tied to 3/31/14 Note. For each $.80 of principal amount of Note purchased, the Buyer shall receive a Warrant to purchase one share of Common Stock of the Company. This equates to One Warrant for every Five share equivalents purchased (i.e. each $0.16 in Convertible Note Principal is equal to one share equivalent as $0.16 is the per share conversion price.)
[F3]Tied to 6/30/14 Note. For each $.80 of principal amount of Note purchased, the Buyer shall receive a Warrant to purchase one share of Common Stock of the Company. This equates to One Warrant for every Five share equivalents purchased (i.e. each $0.16 in Convertible Note Principal is equal to one share equivalent as $0.16 is the per share conversion price.)
[F4]Tied to 9/30/14 Note. For each $.80 of principal amount of Note purchased, the Buyer shall receive a Warrant to purchase one share of Common Stock of the Company. This equates to One Warrant for every Five share equivalents purchased (i.e. each $0.16 in Convertible Note Principal is equal to one share equivalent as $0.16 is the per share conversion price.)

Documents

1 file