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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 | ||||||||
Options (right to buy) | $ 0.36 | 05/28/2015 | X | 631,250 | 03/30/2015 | (1) | Common Stock | 631,250 | $ 0 | 0 | D | ||||
Series A Convertible Preferred Stock | $ 1.15 (2) | 06/09/2015 | P | 30,000 | 06/09/2015 | (3) | Common Stock | 2,608,695 | $ 100 | 643,695 (4) | D | ||||
Series A Convertible Preferred Stock | $ 1.15 (2) | 06/09/2015 | P | 5,000 | 06/09/2015 | (3) | Common Stock | 434,782 | $ 100 | 643,695 (4) | I | See footnote (5) | |||
Warrants | $ 1.4 | 06/09/2015 | P | 521,739 | 06/09/2015 | 06/09/2020 | Common Stock | 521,739 | (6) | 643,695 (4) | D | ||||
Warrants | $ 1.4 | 06/09/2015 | P | 86,956 | 06/09/2015 | 06/09/2020 | Common Stock | 86,956 | (6) | 643,695 (4) | I | See footnote (5) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
McCabe Greg 500 WEST TEXAS AVE. SUITE 890 MIDLAND, TX 79701 |
X | |||
G Mc Exploration, LLC 400 PINE STREET SUITE 700 ABILENE, TX 79601 |
X |
/s/ Greg McCabe | 06/11/2015 | |
**Signature of Reporting Person | Date | |
/s/ Greg McCabe, President of G Mc Exploration, LLC | 06/11/2015 | |
**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) | The options would have expired 30 days following receipt by the Reporting Person of information from the Issuer with respect to certain well(s) to be drilled by the Issuer, as described in the Schedule 13D Statement dated May 27, 2015 filed by the Reporting Person with respect to the common stock of the Issuer. |
(2) | The Series A preferred stock is convertible into shares of common stock in an amount determined by multiplying the number of shares of preferred stock being converted by the preferred stock's stated value of $100 and dividing the product by a conversion price of $1.15. |
(3) | The Series A preferred stock may be converted into common stock at any time and will in any case be converted into common stock on June 9, 2016; provided that the Series A preferred stock shall not be converted into common stock to the extent such conversion would cause the holder to have beneficial ownership of more than 20% of the issuer's outstanding shares of common stock unless such conversion has been approved by the issuer's stockholders. |
(4) | Includes 30,000 shares of Series A preferred stock and warrants with respect to 521,739 shares of common stock owned of record by the reporting person and 5,000 shares of Series A preferred stock and warrants with respect to 86,956 shares of common stock owned of record by G Mc Exploration, LLC. |
(5) | Securities owned of record by G Mc Exploration, LLC, in which the reporting person owns 50% of the outstanding membership interests. |
(6) | Warrants issued in connection with the investment in issuer in which the Series A preferred stock was issued. |