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 AMERICAN POWER GROUP Corp [ apgi ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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| 3. Date of Earliest Transaction (Month/Day/Year) 01/08/2016 | ||||||||||||||||||||||||||
| 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 | 06/30/2016 | J(1) | 438,715(2) | A | $0.14 | 462,532 | I | Member of Entity | ||
| Common Stock | 06/30/2016 | J(1) | 24,032(3) | A | $0.14 | 486,564 | I | Member of Entity | ||
| Common Stock | 07/11/2016 | P | 716,071(2) | A | $0.14 | 1,202,635 | I | Member of Entity | ||
| Common Stock | 08/24/2016 | P | 476,190(2) | A | $0.21 | 1,678,825 | I | Member of Entity | ||
| Common Stock | 08/30/2016 | P | 217,391(2) | A | $0.23 | 1,896,216 | I | Member of Entity | ||
| Common Stock | 12/31/2016 | J(1) | 441,583(2) | A | $0.13 | 2,337,799 | I | Member of Entity | ||
| Common Stock | 12/31/2016 | J(1) | 6,109(3) | A | $0.13 | 2,343,908 | I | Member of Entity | ||
| Common Stock | 02/03/2017 | J(1) | 1,026,132(2) | A | $0.13 | 3,370,040 | I | Member of Entity | ||
| Common Stock | 03/16/2017 | P | 500,000(3) | A | $0.1 | 3,870,040 | I | Member of Entity | ||
| 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 | ||||||||
| 10% Convertible Preferred Stock | (4) | 01/08/2016 | P | 5(2) | (4) | (4) | Common Stock | 5,000,000 | $0.1 | 9,712,296 | I | Member of Entity | |||
| Common Stock Purchase Warrant | $0.1 | 01/08/2016 | P | 10,000,000(2) | (5) | (5) | Common Stock | 10,000,000 | $0.1 | 14,631,621 | I | Member of Entity | |||
| Common Stock Purchase Warrant | $0.14 | 07/11/2016 | P | 716,071(2) | (5) | (5) | Common Stock | 716,071 | $0.14 | 15,347,694 | I | Member of Entity | |||
| Common Stock Purchase Warrant | $0.21 | 08/24/2016 | P | 476,190(2) | (5) | (5) | Common Stock | 476,190 | $0.21 | 15,823,884 | I | Member of Entity | |||
| Common Stock Purchase Warrant | $0.23 | 08/30/2016 | P | 217,391(2) | (5) | (5) | Common Stock | 217,391 | $0.23 | 16,041,275 | I | Member of Entity | |||
| Common Stock Purchase Warrants | $0.2 | 09/13/2016 | P | 6,950,000 | (5) | (5) | Common Stock | 6,950,000 | $0.2 | 22,991,275 | D | ||||
| Explanation of Responses: |
| 1. Shares of common stock received in lieu of cash for Convertible Preferred Stock |
| 2. The reported securities are owned directly by Associated Private Equity, LLC of which Mr. Braverman is a member. Mr. Braverman disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein. |
| 3. The reported securities are owned by North Military, Ltd of which Mr. Braverman is a member. Mr. Braverman disclaims beneficially ownership of the reported securities except to the extent of his pecuniary interest therein. |
| 4. The Preferred Stock is convertible at any time, at the holder's election and has no expiration date. Each share of Preferred Stock has a fair value of $100,000 and is convertible into shares of Common Stock at a conversion price of $.10 per share. |
| 5. The warrants are immediately exercisable for a term of 10 years from date of grant. |
| /s/ Charles E Coppa, attorney in fact | 03/17/2017 | |
| ** 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. | ||