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Dickson Don 4

Accession 0001683168-17-001913

CIK 0001103795other

View on SEC.gov Company Profile

Filed

Jul 31, 8:00 PM ET

Accepted

Aug 1, 12:59 PM ET

Size

6.9 KB

Accession

0001683168-17-001913

Insider Transaction Report

Form 4

Period: 2017-07-30

QS Energy, Inc.QSEP

Director

Transactions

Conversion
Common Stock
2017-07-30$0.10/sh+385,000$38,500→ 1,169,620 total
Conversion
Warrants
2017-07-30−385,000→ 1,456,203 total
Exercise: $0.10From: 2016-08-05Exp: 2017-08-04→ Common Stock (385,000 underlying)

Footnotes (1)

[F1]Reporting Person converted Issuer's Warrants received as part of Reporting Person's purchase of Issuer's Convertible Note acquired on 8/5/2016.

Documents

1 file

4
dickson_f4.xmlPrimary
OWNERSHIP DOCUMENT

Issuer

QS Energy, Inc.

CIK 0001103795

Entity typeother

Related Parties

1

filerCIK 0001584260

Filing Metadata

Form type: 4
Filed: Jul 31, 8:00 PM ET
Accepted: Aug 1, 12:59 PM ET
Size: 6.9 KB

View on SEC.gov