Lane Jason B 4
4 · QS Energy, Inc. · Filed Feb 21, 2019
Insider Transaction Report
Form 4
QS Energy, Inc.QSEP
Lane Jason B
DirectorChief Executive Officer
Transactions
- Award
Convertible Note
2019-02-21$25000.00/sh→ 4,362,492 totalExercise: $0.05From: 2019-02-21→ Common Stock (550,000 underlying) - Award
Warrants
2019-02-21+275,000→ 4,637,492 totalExercise: $0.05From: 2019-02-21Exp: 2020-02-21→ Common Stock (275,000 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 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.