4//SEC Filing
QS Energy, Inc. 4
Accession 0001683168-17-001480
$QSEPCIK 0001103795operating
Filed
Jun 1, 8:00 PM ET
Accepted
Jun 2, 1:41 PM ET
Size
11.8 KB
Accession
0001683168-17-001480
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.
Documents
Issuer
QS Energy, Inc.
CIK 0001103795
Entity typeoperating
IncorporatedNV
Related Parties
1- filerCIK 0001103795
Filing Metadata
- Form type
- 4
- Filed
- Jun 1, 8:00 PM ET
- Accepted
- Jun 2, 1:41 PM ET
- Size
- 11.8 KB