QS Energy, Inc. 4
4 · QS Energy, Inc. · Filed Jun 2, 2017
Insider Transaction Report
Form 4
QS Energy, Inc.QSEP
Bundros Thomas A.
Director
Transactions
- Conversion
Common Stock
2017-05-31$0.05/sh+2,200,000$110,000→ 2,200,000 total - Conversion
Convertible note
2017-05-31$100000.00/sh→ 2,744,569 totalExercise: $0.05→ Common Stock (2,200,000 underlying) - Award
Convertible Note
2017-05-31$100000.00/sh→ 3,844,569 totalExercise: $0.05From: 2017-05-31→ Common Stock (2,200,000 underlying) - Award
Warrants
2017-05-31+1,100,000→ 4,944,569 totalExercise: $0.05From: 2017-05-31Exp: 2018-05-31→ Common Stock (1,100,000 underlying)
Footnotes (4)
- [F1]Reporting Person acquired Issuer's Convertible Note in the principal amount of $110,000, for a purchase price of $100,000, convertible into 2,200,000 shares of common stock of Issuer.
- [F2]Not Applicable.
- [F3]Reporting Person acquired Issuer's Warrants as part of Reporting Person's purchase of Issuer's Convertible Note reported above.
- [F4]Reporting Person converted the Convertible Note listed above and described in Footnote 1 of this Form 4.