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) 12/05/2016 | 3. Issuer Name and Ticker or Trading Symbol TRANSATLANTIC PETROLEUM LTD. [ TAT ] | |||||||||||||
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 Shares | 189,585 | 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 | ||||
Convertible Note | (1) | 07/01/2017 | Common Shares | 36,764 | 6.8 | D | |
Series A Convertible Preferred Shares | (2) | 11/04/2024 | Common Shares | 686,310(3) | 1.0928 | D |
Explanation of Responses: |
1. The 13.0% Convertible Note due 2017 (the "2017 Notes") in the principal amount of $250,000 is convertible into the Issuer's Common Shares at any time after July 1, 2015. |
2. Each 12.0% Series A Convertible Preferred Share (the "Series A Preferred Share") is convertible at any time after approval of the listing of the Common Shares on the NYSE MKT and the Toronto Stock Exchange, at the option of the holder. |
3. The reporting person disposed of $750,000 of the 2017 Notes in exchange for 15,000 shares of Series A Preferred Shares in an issuer exchange offer. The 15,000 Series A Preferred Shares are convertible into 686,310 shares of the Issuer's Common Shares. |
Remarks: |
Exhibit 24 - Power of Attorney |
Meredith V. Kennedy, Attorney-in-Fact | 12/15/2016 | |
** 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. |