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KYTE CECIL BOND 4

Accession 0001683168-21-003139

CIK 0001103795other

View on SEC.gov Company Profile

Filed

Jul 27, 8:00 PM ET

Accepted

Jul 28, 3:47 PM ET

Size

9.5 KB

Accession

0001683168-21-003139

Insider Transaction Report

Form 4

Period: 2021-06-07

QS Energy, Inc.QSEP

DirectorCHIEF EXECUTIVE OFFICER

Transactions

Award
Convertible Note
2021-06-07$117000.00/sh→ 6,435,000 total
Exercise: $0.02From: 2021-06-07→ Common Stock (6,435,000 underlying)
Award
Warrants
2021-06-07+3,217,500→ 9,652,500 total
Exercise: $0.03From: 2021-06-07Exp: 2022-06-07→ Common Stock (3,217,500 underlying)
Award
Common Stock
2021-06-07$0.01/sh+5,533,333$83,000→ 10,533,333 total

Footnotes (3)

[F1]Reporting Person acquired Issuer's Convertible Note in the principal amount of $128,700, for a purchase price of $117,000, convertible into 6,435,000 shares of common stock of Issuer.
[F2]Not Applicable.
[F3]Reporting Person acquired Issuer's Warrants as part of Reporting Person's purchase of Issuer's Convertible Note reported above.

Documents

1 file

4
ownership.xmlPrimary

Issuer

QS Energy, Inc.

CIK 0001103795

Entity typeother

Related Parties

1

filerCIK 0001354002

Filing Metadata

Form type: 4
Filed: Jul 27, 8:00 PM ET
Accepted: Jul 28, 3:47 PM ET
Size: 9.5 KB

View on SEC.gov