4//SEC Filing
Munn Richard William 4
Accession 0001683168-19-000527
CIK 0001103795other
Filed
Feb 28, 7:00 PM ET
Accepted
Mar 1, 2:03 PM ET
Size
10.3 KB
Accession
0001683168-19-000527
Insider Transaction Report
Form 4
QS Energy, Inc.QSEP
Munn Richard William
Director
Transactions
- Award
Convertible Note
2019-02-25$10000.00/sh→ 1,372,778 totalExercise: $0.05From: 2019-02-25→ Common Stock (220,000 underlying) - Award
Options
2019-01-01+625,000→ 1,152,778 totalExercise: $0.08Exp: 2029-01-01→ Common Stock (625,000 underlying) - Award
Warrants
2019-02-25+110,000→ 1,482,778 totalExercise: $0.05From: 2019-02-25Exp: 2020-02-25→ Common Stock (110,000 underlying)
Footnotes (4)
- [F1]The stock options reported under item 1 above were granted to Reporting Person as equity compensation 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]Reporting Person acquired Issuer's Convertible Note in the principal amount of $11,000, for a purchase price of $10,000, convertible into 220,000 shares of common stock of Issuer.
- [F3]Not Applicable.
- [F4]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 0001706453
Filing Metadata
- Form type
- 4
- Filed
- Feb 28, 7:00 PM ET
- Accepted
- Mar 1, 2:03 PM ET
- Size
- 10.3 KB