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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, Section 17(a) of the Public Utility Holding Company Act of 1935 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) |
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 | $ 1 | 04/04/2016 | P | 1,500,000 | 04/04/2016 | 04/04/2021 | Common Stock | 1,500,000 | (5) | 1,500,000 | I | See footnote (6) | |||
Series A Convertible Preferred Stock | $ 1.15 | 06/08/2016 | C | 30,000 | 06/09/2015 | (7) | Common Stock | 2,608,696 | $ 100 | 0 | D | ||||
Series A Convertible Preferred Stock | $ 1.15 | 06/08/2016 | C | 5,000 | 06/09/2015 | (7) | Common Stock | 434,783 | $ 100 | 0 | I | See footnote (2) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
McCabe Greg 500 WEST TEXAS AVE. SUITE 890 MIDLAND, TX 79701 |
X | X |
/s/ Greg McCabe | 07/29/2016 | |
**Signature of Reporting Person | Date |
* | 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) | Shares received as quarterly interest payment due on Series A Convertible Preferred Stock. |
(2) | Securities owned of record by G Mc Exploration, LLC, in which the reporting person owns 50% of the outstanding membership interests. |
(3) | This amount includes the 50,000 total shares of common stock acquired by the reporting person on February 16, 2016, as reported in his Form 4 filed on February 18, 2016. In the February 18 Form 4, the amounts referenced in column 5 therein incorrectly omit the 97,772 and 78,904 shares of common stock acquired by the reporting person on September 30, 2015 and December 31, 2015, respectively, as reported herein. |
(4) | Conversion of Series A Convertible Preferred Stock. |
(5) | The issuer issued these warrants to McCabe Petroleum Corporation as consideration for the conveyance of an interest in certain oil and gas leases. |
(6) | Securities owned of record by G McCabe Petroleum Corporation, of which the reporting person is the sole owner. |
(7) | The Series A Convertible Preferred Stock is convertible into common stock with no expiration date. |