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Bundros Thomas A. 4

Accession 0001683168-19-000970

CIK 0001103795other

View on SEC.gov Company Profile

Filed

Apr 4, 8:00 PM ET

Accepted

Apr 5, 5:46 PM ET

Size

10.8 KB

Accession

0001683168-19-000970

Insider Transaction Report

Form 4

Period: 2019-02-25

QS Energy, Inc.QSEP

Bundros Thomas A.

Director

Transactions

Conversion
Convertible Note
2019-02-25−330,000→ 3,163,736 total
Exercise: $0.05From: 2019-02-25→ Common Stock (330,000 underlying)
Conversion
Common Stock
2019-02-25$0.05/sh+330,000$16,500→ 2,530,000 total
Conversion
Common Stock
2019-04-03$0.05/sh+165,000$8,250→ 2,695,000 total
Conversion
Warrants
2019-04-03−165,000→ 2,998,736 total
Exercise: $0.05From: 2019-02-25Exp: 2020-02-25→ Common 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

Issuer

QS Energy, Inc.

CIK 0001103795

Entity typeother

Related Parties

1

filerCIK 0001631606

Filing Metadata

Form type: 4
Filed: Apr 4, 8:00 PM ET
Accepted: Apr 5, 5:46 PM ET
Size: 10.8 KB

View on SEC.gov