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5//SEC Filing

Griffin Randy M 5

Accession 0001140361-13-003221

CIK 0001425597other
View on SEC.govCompany Profile

Filed

Jan 27, 7:00 PM ET

Accepted

Jan 28, 9:16 AM ET

Size

17.1 KB

Accession

0001140361-13-003221

Insider Transaction Report

Form 5
Period: 2012-12-31
Mesa Energy Holdings, Inc.MESH
Griffin Randy M
DirectorChairman and CEO10% Owner
Transactions
  • Other

    Otion to Purchase Outstanding Common Stock (right to buy)

    2012-12-17$10.00/sh−3,667,461$36,674,610→ 1,800,000 total
    Exercise: $0.10→ Common Stock (3,667,461 underlying)
  • Gift

    Common Stock, $0.0001 par value

    2012-12-07−900,000→ 5,540,601 total
  • Purchase

    Option to Purchase Outstanding Common Stock (right to buy)

    2012-12-17$10.00/sh+1,800,000$18,000,000→ 1,800,000 total
    Exercise: $0.10From: 2012-12-17Exp: 2015-06-01→ Common Stock (1,800,000 underlying)
  • Award

    Employee Incentive Stock Option (right to buy)

    2011-06-30+1,000,000→ 1,000,000 total
    Exercise: $0.15From: 2012-06-30Exp: 2016-06-30→ Common Stock (1,000,000 underlying)
  • Other

    Option to Purchase Outstanding Common Stock (right to buy)

    2012-12-17$10.00/sh−1,332,539$13,325,390→ 0 total
    Exercise: $0.10→ Common Stock (1,332,539 underlying)
Holdings

  • Common Stock, $0.0001 par value

    (indirect: By Sycamore Resources, Inc.)
    1,904,000

  • Common Stock, $0.0001 par value

    (indirect: By Amagosa Investments Ltd.)
    1,735,740
Footnotes (7)
  • [F1]On December 7, 2012 Mr. Griffin gifted 900,000 shares of the common stock of Mesa Energy Holdings, Inc., which he directly owned.
  • [F2]Mr. Griffin is the sole officer, director and shareholder of this entity.
  • [F3]Mr. Griffin is the general partner and has voting and dispositive power over the shares owned by this entity.
  • [F4]Granted under the Issuer's 2009 Equity Incentive Plan.
  • [F5]Cancellation for value of fully vested option to purchase common stock of the Issuer purchased from Unruh & Unruh Properties, LP, owned by Ray Unruh, President of the Issuer, pursuant to agreement between the parties dated December 17, 2012.
  • [F6]Option (fully vested) to purchase common stock of the Issuer purchased from Ray Unruh, President of the Issuer. Pursuant to the agreement between the parties dated December 12, 2012, this option supersedes and cancels the previous option agreement between the parties dated June 10, 2010 pursuant to which Mr. Griffin purchased from Mr. Unruh an option to purchase 3,667,461 shares of common stock of the Issuer.
  • [F7]Cancellation for value of fully vested option to purchase common stock of the Issuer purchased from Ray Unruh, President of the Issuer, pursuant to agreement between the parties dated December 12, 2012.

Documents

1 file

Issuer

Mesa Energy Holdings, Inc.

CIK 0001425597

→
Entity typeother

Related Parties

1
  • filerCIK 0001491076

Filing Metadata

Form type
5
Filed
Jan 27, 7:00 PM ET
Accepted
Jan 28, 9:16 AM ET
Size
17.1 KB
View on SEC.gov