|4Jan 13, 8:57 PM ET

THREE FORKS, INC. 4

4 · THREE FORKS, INC. · Filed Jan 13, 2015

Insider Transaction Report

Form 4
Period: 2014-11-27
Transactions
  • Other

    Common Stock

    2014-11-27400,0000 total
  • Other

    Options

    2014-11-27100,0000 total
    Exercise: $0.10From: 2013-06-13Exp: 2016-06-13Common Stock (100,000 underlying)
Holdings
  • Common Stock

    400,000
  • Options

    Exercise: $0.10From: 2013-06-13Exp: 2016-06-13Common Stock (100,000 underlying)
    100,000
  • Options

    Exercise: $1.00From: 2013-12-15Exp: 2016-12-15Common Stock (25,000 underlying)
    25,000
Footnotes (2)
  • [F1]Mr. Young surrendered to the Company 400,000 shares of common stock issued to him for immediate cancellation by the Company in connection with the Resignation and Settlement Agreement dated 11/27/2014.
  • [F2]Mr. Young surrendered to the Company 100,000 of the $0.10 Options issued to him for immediate cancellation by the Company in connection with the Resignation and Settlement Agreement dated 11/27/2014.

Documents

1 file
  • 4
    primary_doc.xmlPrimary

    PRIMARY DOCUMENT