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Dickson Don 4

Accession 0001683168-20-001982

CIK 0001103795other

View on SEC.gov Company Profile

Filed

Jun 16, 8:00 PM ET

Accepted

Jun 17, 5:11 PM ET

Size

7.8 KB

Accession

0001683168-20-001982

Insider Transaction Report

Form 4

Period: 2020-06-12

QS Energy, Inc.QSEP

Director

Transactions

Award
Convertible Note
2020-06-12$10000.00/sh→ 4,109,377 total
Exercise: $0.04From: 2020-06-12→ Common Stock (314,285 underlying)
Award
Warrants
2020-06-12+157,143→ 4,266,520 total
Exercise: $0.04From: 2020-06-12Exp: 2021-06-12→ Common Stock (157,143 underlying)

Footnotes (3)

[F1]Reporting Person acquired Issuer's Convertible Note in the principal amount of $11,000, for a purchase price of $10,000, convertible into 314,285 shares of common stock of Issuer.
[F2]Reporting Person acquired Issuer's Warrants as part of Reporting Person's purchase of Issuer's Convertible Note reported above.
[F3]N/A

Documents

1 file

4
ownership.xmlPrimary

Issuer

QS Energy, Inc.

CIK 0001103795

Entity typeother

Related Parties

1

filerCIK 0001584260

Filing Metadata

Form type: 4
Filed: Jun 16, 8:00 PM ET
Accepted: Jun 17, 5:11 PM ET
Size: 7.8 KB

View on SEC.gov