4//SEC Filing
QS Energy, Inc. 4
Accession 0001683168-17-000190
$QSEPCIK 0001103795operating
Filed
Jan 29, 7:00 PM ET
Accepted
Jan 30, 3:25 PM ET
Size
9.8 KB
Accession
0001683168-17-000190
Insider Transaction Report
Form 4
QS Energy, Inc.QSEP
Dickson Don
Director
Transactions
- Award
Option to Purchase Common Stock
2017-01-01+1,000,000→ 1,841,203 totalExercise: $0.05From: 2017-01-01Exp: 2027-01-01→ Common Stock (1,000,000 underlying) - Conversion
Conversion of Note
2016-10-13−770,000→ 841,203 totalExercise: $0.10From: 2016-08-05→ Common Stock (770,000 underlying) - Conversion
Common Stock
2016-10-13$0.10/sh+770,000$77,000→ 784,620 total
Footnotes (2)
- [F1]Common Stock purchased on 10/13/2016 pursuant to Issuer's Convertible Note, purchased by Reporting Person on 08/05/2016 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]The stock options reported under item 1 above were granted to each member of Issuer's Board as equity compensation under the Issuer's Board Compensation Policy, approved by the Board on 06/19/2015. The options granted under item 1 vest at the rate of 1/12 per month, commencing 01/01/2017, with full vesting on 12/31/2017.
Documents
Issuer
QS Energy, Inc.
CIK 0001103795
Entity typeoperating
IncorporatedNV
Related Parties
1- filerCIK 0001103795
Filing Metadata
- Form type
- 4
- Filed
- Jan 29, 7:00 PM ET
- Accepted
- Jan 30, 3:25 PM ET
- Size
- 9.8 KB