4//SEC Filing
Lane Jason B 4
Accession 0001683168-19-000478
CIK 0001103795other
Filed
Feb 20, 7:00 PM ET
Accepted
Feb 21, 5:45 PM ET
Size
7.8 KB
Accession
0001683168-19-000478
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.
Documents
Issuer
QS Energy, Inc.
CIK 0001103795
Entity typeother
Related Parties
1- filerCIK 0001703180
Filing Metadata
- Form type
- 4
- Filed
- Feb 20, 7:00 PM ET
- Accepted
- Feb 21, 5:45 PM ET
- Size
- 7.8 KB