4//SEC Filing
Bundros Thomas A. 4
Accession 0001683168-19-000522
CIK 0001103795other
Filed
Feb 28, 7:00 PM ET
Accepted
Mar 1, 1:59 PM ET
Size
12.9 KB
Accession
0001683168-19-000522
Insider Transaction Report
Form 4
QS Energy, Inc.QSEP
Bundros Thomas A.
Director
Transactions
- Award
Options
2019-01-01+625,000→ 3,786,236 totalExercise: $0.08From: 2019-01-31Exp: 2029-01-01→ Common Stock (625,000 underlying) - Award
Options
2019-01-01+312,500→ 4,098,736 totalExercise: $0.08From: 2019-01-31Exp: 2029-01-01→ Common Stock (312,500 underlying) - Award
Convertible Note
2019-02-25$15000.00/sh→ 4,428,736 totalExercise: $0.05From: 2019-02-25→ Common Stock (330,000 underlying) - Award
Warrants
2019-02-25+165,000→ 4,593,736 totalExercise: $0.05From: 2019-02-25Exp: 2020-02-25→ Common Stock (165,000 underlying)
Footnotes (5)
- [F1]The stock options reported under item 1 above were granted to Reporting Person as equity compensation for service as a Director under Issuer's Board Compensation Policy, approved by the Board on 6/19/2015. The options vest at the rate of 1/12 per month, commencing 1/1/2019, with full vesting on 12/31/2019.
- [F2]The stock options reported under item 1 above were granted to Reporting Person as equity compensation for service as Chairman of the Audit Committee of the Board under Issuer's Board Compensation Policy, approved by the Board on 6/19/2015. The options vest at the rate of 1/12 per month, commencing 1/1/2019, with full vesting on 12/31/2019.
- [F3]Reporting Person acquired Issuer's Convertible Note in the principal amount of $16,500, for a purchase price of $15,000, convertible into 330,000 shares of common stock of Issuer.
- [F4]Reporting Person acquired Issuer's Warrants as part of Reporting Person's purchase of Issuer's Convertible Note reported above.
- [F5]Not Applicable.
Documents
Issuer
QS Energy, Inc.
CIK 0001103795
Entity typeother
Related Parties
1- filerCIK 0001631606
Filing Metadata
- Form type
- 4
- Filed
- Feb 28, 7:00 PM ET
- Accepted
- Mar 1, 1:59 PM ET
- Size
- 12.9 KB