4//SEC Filing
Lane Jason B 4
Accession 0001683168-20-000926
CIK 0001103795other
Filed
Mar 23, 8:00 PM ET
Accepted
Mar 24, 4:07 PM ET
Size
10.3 KB
Accession
0001683168-20-000926
Insider Transaction Report
Form 4
QS Energy, Inc.QSEP
Lane Jason B
DirectorChief Executive Officer
Transactions
- Award
Options
2020-01-01+333,333→ 4,420,825 totalExercise: $0.15From: 2020-01-31Exp: 2030-01-01→ Common Stock (333,333 underlying) - Award
Convertible Note
2020-03-18$20000.00/sh→ 5,049,396 totalExercise: $0.04From: 2020-03-18→ Common Stock (628,571 underlying) - Award
Warrants
2020-03-18+314,285→ 5,363,682 totalExercise: $0.04From: 2020-03-18Exp: 2021-03-18→ Common Stock (314,286 underlying)
Footnotes (4)
- [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 1/1/2020, with full vesting on 12/31/2020.
- [F2]Reporting Person acquired Issuer's Convertible Note in the principal amount of $22,000, for a purchase price of $20,000, convertible into 628,571 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 0001703180
Filing Metadata
- Form type
- 4
- Filed
- Mar 23, 8:00 PM ET
- Accepted
- Mar 24, 4:07 PM ET
- Size
- 10.3 KB