4/A: Statement of changes in beneficial ownership of securities
Published on November 28, 2018
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN 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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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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 control number. | SEC 1474 (9-02) |
(e.g., puts, calls, warrants, options, convertible securities)
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 Underlying Securities (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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Warrants | $ 0.08 | 03/30/2018 | 03/30/2018 | A | 275,000 | 03/30/2018 | 03/30/2019 | Common Stock | 275,000 | (1) | 602,778 (4) | D | |||
Warrants | $ 0.08 | 04/02/2018 | 04/02/2018 | C | 275,000 | 04/02/2018 | (2) | Common Stock | 275,000 | (3) | 552,778 (4) | D |
Reporting Owners
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Bunting Eric 23902 FM 2978 TOMBALL, TX 77375 |
X |
Signatures
/s/ Eric Bunting | 11/28/2018 | |
**Signature of Reporting Person | Date |
Explanation of Responses:
* | 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). |
(1) | On 3/30/2018, Reporting Person acquired 275,000 Warrants as part of Reporting Person's acquisition of Issuer's Convertible note on that same date. In Reporting Person's 04/04/2018 Form 4 reporting this acquisition, the number of Warrants acquired by Reporting Person was incorrectly stated as 225,000, a shortfall of 50,000 Warrants. |
(2) | Not Applicable. |
(3) | On 3/30/2018, Reporting Person converted 275,000 of Issuer's Warrants as part of Reporting Person's purchase of Issuer's Convertible Note reported above. In Reporting Person's 04/04/2018 Form 4 reporting this acquisition, the number of Warrants converted into Issuer's Common Stock was incorrectly stated as 225,000, a shortfall of 50,000 Warrants. |
(4) | Amount at the time of filing of this Form 4 |