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) 04/01/2017 | 3. Issuer Name and Ticker or Trading Symbol QS Energy, Inc. [ QSEP ] | |||||||||||||
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) |
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 | ||||
Option to Purchase Common Stock | 04/01/2017(1) | 04/01/2027 | Common Stock | 250,000 | (1) | D | |
Option to Purchase Common Stock | 05/05/2016(2) | 05/05/2026 | Common Stock | 500,000 | 0.18 | D | |
Option to Purchase Common Stock | 05/01/2014(3) | 05/01/2024 | Common Stock | 50,000 | 0.8 | D |
Explanation of Responses: |
1. The stock options reported under item 1 above were granted to Mr. McMullen pursuant to his employment agreement as Chief Financial Officer, approved by the Board on 03/29/2017 and effective 04/01/2017. Fifty percent of the options granted under item 1 vested effective 04/01/2017, with the remaining fifty percent vesting on 04/01/2018. The exercise price of the options listed in item 1 equals the stock price listed on the OTCBB market at market close on 04/01/2017. |
2. Fifty percent of the options granted under item 1 vested effective 05/05/2017, with the remaining fifty percent vesting on 05/05/2018. |
3. Fifty percent of the options granted under item 1 vested effective 05/01/2015, and the remaining fifty percent vested on 05/05/2016. |
/s/ Michael S. McMullen | 04/06/2017 | |
** 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 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. |