|4Apr 5, 5:46 PM ET

Bundros Thomas A. 4

4 · QS Energy, Inc. · Filed Apr 5, 2019

Insider Transaction Report

Form 4
Period: 2019-02-25
Transactions
  • Conversion

    Convertible Note

    2019-02-25330,0003,163,736 total
    Exercise: $0.05From: 2019-02-25Common Stock (330,000 underlying)
  • Conversion

    Common Stock

    2019-02-25$0.05/sh+330,000$16,5002,530,000 total
  • Conversion

    Common Stock

    2019-04-03$0.05/sh+165,000$8,2502,695,000 total
  • Conversion

    Warrants

    2019-04-03165,0002,998,736 total
    Exercise: $0.05From: 2019-02-25Exp: 2020-02-25Common Stock (165,000 underlying)
Footnotes (3)
  • [F1]Reporting Person converted Issuer's Convertible Note purchased on 02/25/2019.
  • [F2]N/A
  • [F3]Reporting Person is exercising Issuer's Warrants acquired as part of Reporting Person's purchase of Issuer's Convertible Note on 02/25/2019.

Documents

1 file
  • 4
    ownership.xmlPrimary