4//SEC Filing
QS Energy, Inc. 4
Accession 0001019687-16-007106
$QSEPCIK 0001103795operating
Filed
Aug 7, 8:00 PM ET
Accepted
Aug 8, 4:51 PM ET
Size
7.8 KB
Accession
0001019687-16-007106
Insider Transaction Report
Form 4
QS Energy, Inc.QSEP
Dickson Don
Director
Transactions
- Award
Convertible Note
2016-08-05$70000.00/sh+70,000$4,900,000,000→ 1,226,203 totalExercise: $0.10From: 2016-08-05→ Common Stock (770,000 underlying) - Award
Warrants
2016-08-05+385,000→ 1,611,203 totalExercise: $0.10From: 2016-08-05Exp: 2017-08-04→ Common Stock (385,000 underlying)
Footnotes (3)
- [F1]Reporting Person acquired Issuer's Convertible Note in the principal amount of $77,000, for a purchase price of $70,000, convertible into 770,000 shares of common stock of Issuer.
- [F2]Not applicable.
- [F3]Reporting Person acquired Issuer's Warrants as part of Reporting Person's purchase of Issuer's Convertible Note reported above.
Documents
Issuer
QS Energy, Inc.
CIK 0001103795
Entity typeoperating
IncorporatedNV
Related Parties
1- filerCIK 0001103795
Filing Metadata
- Form type
- 4
- Filed
- Aug 7, 8:00 PM ET
- Accepted
- Aug 8, 4:51 PM ET
- Size
- 7.8 KB