Enerpulse (SCQO) Form 4 Enerpulse / Tim Ford ownership change

SEC Form 4

FORM 4

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

1. Name and Address of Reporting Person^*

Ford Tim

(Last) (First) (Middle)

C/O ENERPULSE TECHNOLOGIES, INC.

2451 ALAMO AVENUE SE

(Street)

ALBUQUERQUE NM 87106

(City) (State) (Zip)

2. Issuer Name and Ticker or Trading Symbol
Enerpulse Technologies, Inc. [ ENPT ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director	10% Owner
	Officer (give title below)	Other (specify below)

3. Date of Earliest Transaction (Month/Day/Year)
10/15/2013

4. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8)		4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
			Code	V	Amount	(A) or (D)	Price

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	4. Transaction Code (Instr. 8)		5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date (Month/Day/Year)		7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
				Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Employee Stock Option (Right to Buy)	$3	10/15/2013		A		13,234		(1)	10/15/2023	Common Stock	13,234	$0.00	13,234	D
Employee Stock Option (Right to Buy)	$0.75	06/30/2014		A		4,972		(2)	01/03/2018	Common Stock	4,972	(3)	4,972	D
Employee Stock Option (Right to Buy)	$0.9051	06/30/2014		D			4,972	(2)	01/03/2018	Common Stock	4,972	(3)	0	D
Employee Stock Option (Right to Buy)	$0.75	06/30/2014		A		9,944		(2)	07/18/2016	Common Stock	9,944	(3)	9,944	D
Employee Stock Option (Right to Buy)	$0.9051	06/30/2014		D			9,944	(4)	07/18/2016	Common Stock	9,944	(3)	0	D
Employee Stock Option (Right to Buy)	$0.75	06/30/2014		A		13,234		(2)	10/15/2023	Common Stock	13,234	(5)	13,234	D
Employee Stock Option (Right to Buy)	$3	06/30/2014		D			13,234	(1)	10/15/2023	Common Stock	13,234	(5)	0	D
Employee Stock Option (Right to Buy)	$0.5	08/06/2014		A		49,852		(6)	08/06/2024	Common Stock	49,852	$0.00	49,852	D
6% Senior Secured Convertible Note	$0.2(7)	02/20/2015		P		$5,000		(7)	02/20/2018	Common Stock	25,000	(8)	$5,000	D
Warrant (Right to Buy)	$0.2(9)	02/20/2015		P		12,500		(9)	02/20/2020	Common Stock	12,500	(8)	12,500	D

Explanation of Responses:

1. The shares subject to the option shall vest and become exercisable ratably in annual installments over three years beginning on October 15, 2014 until fully vested on October 15, 2016.

2. The shares subject to the option are 100% vested and excercisable.

3. The reporting person agreed to cancellation of an option issued to him on September 4, 2013, in exchange for a new option having a lower exercise price.

4. The shares subject to the cancelled option would have vested and became exercisable ratably in annual installments over three years beginning on July 18, 2011 until fully vested on July 18, 2014.

5. The reporting person agreed to cancellation of an option granted to him on October 15, 2013, in exchange for a new option having a lower exercise price.

6. The shares subject to the option shall vest and become exercisable ratably in annual installments over three years beginning on August 6, 2015 until fully vested on August 6, 2017.

7. All amounts due under the 6% senior secured convertible note are convertible at any time, in whole or in part, at the option of the reporting person into shares of common stock at a fixed, initial conversion price of $0.20 per share, which is subject to adjustment for stock splits, stock dividends, combinations, or similar events or to prevent dillution.

8. The note and warrant were purchased by the reporting person for the aggregate purchase price of $5,000.

9. The warrant is exercisable at any time on or after the date of issuance at an initial exercise price equal to $0.20 per share, subject to adjustment for stock splits, stock dividends, combinations, or similar events or to prevent dillution.

Remarks:

	Tim Ford	03/25/2015
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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