SEC Form 3
FORM 3 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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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1. Name and Address of Reporting Person*
(Street)
| 2. Date of Event Requiring Statement (Month/Day/Year) 10/15/2019 | 3. Issuer Name and Ticker or Trading Symbol Alternus Energy Inc. [ ALTN ] | |||||||||||||
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
| 5. 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 Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock(1)(2) | 15,500,000 | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Warrants(3) | 07/24/2015 | 07/24/2021 | Common Stock | 600,000 | 0.2 | D | |
Warrants(3) | 02/12/2019 | 01/12/2023 | Common Stock | 619,522 | 0.25 | D | |
Convertible Promissory Note(4) | 02/19/2019 | 02/19/2021 | Common Stock | 1,457,700 | 0.2 | D |
Explanation of Responses: |
1. Vincent Browne, the Company's CEO and Chairman of the Board, has majority voting and dispositive power over VestCo Corp. The address for VestCo Corp. is 16192 Coastal Highway, Lewes, DE 19958. |
2. Includes i) 500,000 common shares and ii) 15,000,000 Class B Common Shares with a 5 to 1 voting right. |
3. Includes i) warrants to purchase up to 600,000 shares of common stock, exercisable at $0.20 per share which expires in July of 2021, and ii) warrants to purchase up to 619,522 shares of common stock, exercisable at $0.25 per share or through a cashless exercise provision, for a period of four years which expires in February of 2023. |
4. Includes 1,457,700 common shares underlying a $291,540 convertible promissory note that was issued on February 19, 2019. This convertible promissory note has a maturity date of February 19, 2021, and is immediately convertible to shares of common stock at $0.20 per share. |
Remarks: |
/s/ Vincent Browne, on behalf of VestCo Corp. | 10/15/2019 | |
** 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 5 (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. |