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*
(Street)
| 2. Issuer Name and Ticker or Trading Symbol Enservco Corp [ ENSV ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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3. Date of Earliest Transaction (Month/Day/Year) 06/02/2017 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed (Month/Day/Year) | 6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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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 | ||||||
Common Stock | 98,853 | D |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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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 | ||||||||
Stock Option | $0.29 | 06/02/2017 | A | 500,000 | (8) | 06/02/2022 | Common Stock | 500,000 | (8) | 500,000 | D | ||||
Stock Option | $0.46 | (1) | 06/30/2017 | Common Stock | 100,000 | 100,000 | D | ||||||||
Stock Option | $1.74 | (2) | 04/08/2020 | Common Stock | 100,000 | 100,000 | D | ||||||||
Stock Option | $0.6 | (3) | 05/05/2021 | Common Stock | 100,000 | 100,000 | D | ||||||||
Stock Option | $0.65 | (4) | 12/30/2017 | Common Stock | 200,000 | 200,000 | D | ||||||||
Stock Option | $1.74 | (5) | 04/08/2020 | Common Stock | 60,000 | 60,000 | D | ||||||||
Stock Option | $0.65 | (6) | 05/05/2021 | Common Stock | 100,000 | 100,000 | D | ||||||||
Stock Option | $0.7 | (7) | 01/23/2018 | Common Stock | 50,000 | 50,000 | D |
Explanation of Responses: |
1. Options to acquire 100,000 shares are fully vested as of the date hereof. |
2. Options to acquire 100,000 shares are fully vested as of the date hereof. |
3. Options to acquire 66,667 shares vested on 12/31/16, and the remaining options to acquire 33,333 shares will vest on 12/31/17 if the conditions to vesting exist on such date. |
4. Options to acquire 200,000 shares are fully vested as of the date hereof. |
5. Options to acquire 6,666 shares vested on 1/1/17, and the remaining options to acquire 53,334 shares will vest on 1/1/18 if the conditions to vesting exist on such date. |
6. Options to acquire 33,334 shares will vest on 12/31/17, and the remaining options to acquire 66,666 shares will vest on 12/31/18, in both cases if the conditions to vesting exist on such date. |
7. Options to acquire 50,000 shares are fully vested as of the date hereof. |
8. Options to acquire 166,667 shares vested on 6/2/17; options to acquire 166,667 shares will vest on 6/2/18, and the remaining options to acquire 166,666 shares will vest on 6/2/19, in each case if the conditions to vesting exist on such dates. All of the stock options are exercisable at an exercise price of $0.29 per share, which was the closing price of the Company's common stock on May 10, 2017, the date on which the Company's Board of Directors authorized the terms of this award to Mr. Peitz. |
/s/ Austin Peitz | 06/06/2017 | |
** 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). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |