QS Energy, Inc. 4
4 · QS Energy, Inc. · Filed Aug 8, 2016
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.