FERRIS CHARLES F. 4

4 · HS3 TECHNOLOGIES INC. · Filed Jul 22, 2011

Form 4

Period: 2007-08-15

DirectorChairman

Transactions

Conversion
Convertible Note
2011-06-24$0.04/sh−1,640,000$72,816→ 0 total
Exercise: $0.04→ Common Shares (1,640,000 underlying)
Conversion
Convertible Note
2009-11-06$0.05/sh−200,000$10,000→ 0 total
Exercise: $0.05→ Common Shares (200,000 underlying)
Award
Common Shares
2007-08-15$0.12/sh+360,000$43,200→ 360,165 total
Award
Common Shares
2008-05-29$0.04/sh+300,000$12,000→ 660,165 total
Conversion
Common Shares
2009-11-06$0.05/sh+200,000$10,000→ 860,165 total
Conversion
Common Shares
2011-06-24$0.04/sh+1,640,000$72,816→ 2,500,165 total

Holdings

Footnotes (4)

[F1]On August 15, 2007, the Issuer granted 360,000 shares to Mr. Ferris at a value of $0.12 per share.
[F2]On May 29, 2008, the Issuer granted 300,000 shares to Mr. Ferris at a value of $0.04 per share.
[F3]On November 6, 2011, the Issuer and Mr. Ferris entered into a debt settlement and subscription agreement wherein Mr. Ferris agreed to subscribe for 200,000 shares of common stock of the Issuer at a purchase price of $0.05 per share, or $10,000, exercisable on demand. In lieu of a cash payment to the Issuer, the shares of common stock were issued to Mr. Ferris as payment of an outstanding debt owed to Mr. Ferris in the amount of $10,000, as full payment of the debt owed.
[F4]On June 24, 2011, the Issuer and Mr. Ferris entered into a debt settlement and subscription agreement wherein Mr. Ferris agreed to subscribe for 1,640,000 shares of common stock of the Issuer at a purchase price of $0.04445 per share, or $72,898, exercisable on demand. In lieu of a cash payment to the Issuer, the shares of common stock were issued to Mr. Ferris as payment of an outstanding debt owed to Mr. Ferris in the amount of $72,898, as full payment of the debt owed.

Documents

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