|4Nov 28, 6:06 PM ET

Dickson Don 4

4 · QS Energy, Inc. · Filed Nov 28, 2018

Insider Transaction Report

Form 4
Period: 2018-11-26
Dickson Don
Director
Transactions
  • Award

    Warrants

    2018-11-26+275,0002,836,759 total
    Exercise: $0.05From: 2018-11-26Exp: 2019-11-26Common Stock (275,000 underlying)
  • Award

    Convertible Note

    2018-11-26$25000.00/sh2,561,759 total
    Exercise: $0.05From: 2018-11-26Common Stock (550,000 underlying)
Footnotes (3)
  • [F1]Reporting Person acquired Issuer's Convertible Note in the principal amount of $27,500, for a purchase price of $25,000, convertible into 550,000 shares of common stock of the 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.

Documents

1 file
  • 4
    ownership.xmlPrimary