|4Dec 30, 10:39 AM ET

THREE FORKS, INC. 4

4 · THREE FORKS, INC. · Filed Dec 30, 2014

Insider Transaction Report

Form 4
Period: 2014-11-27
Nichols W. Edward
DirectorCEO and Secretary
Transactions
  • Other

    Options

    2014-11-2750,0000 total
    Exercise: $1.00From: 2013-12-15Exp: 2016-12-15Common Stock (50,000 underlying)
  • Other

    Common Stock

    2014-11-271,500,000500,000 total
Footnotes (2)
  • [F1]Mr. Nichols surrendered to the Company 1,500,000 shares of common stock issued to him for cancellation by the Company in connection with the Resignation and Settlement Agreement dated November 27, 2014.
  • [F2]Mr. Nichols surrendered to the Company all Options issued to him for immediate cancellation by the Company in connection with the Resignation and Settlement Agreement dated November 27, 2014.

Documents

1 file
  • 4
    primary_doc.xmlPrimary

    PRIMARY DOCUMENT