Eric Bunting - 22 Mar 2023 Form 4 Insider Report for QS Energy, Inc. (QSEP)

Role
Director
Signature
/s/ Eric Bunting
Issuer symbol
QSEP
Transactions as of
22 Mar 2023
Net transactions value
+$15,000
Form type
4
Filing time
23 Mar 2023, 17:21:34 UTC
Previous filing
10 Aug 2022
Next filing
25 Feb 2025
SEC
View on sec.gov

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction QSEP Convertible Note Award $15,000 9,188,438 22 Mar 2023 Common Stock 330,000 $0.0500 Direct F1, F2
transaction QSEP Warrants Award +330,000 +3.6% 9,518,438 22 Mar 2023 Common Stock 330,000 $0.0700 Direct F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Reporting Person acquired Issuer's Convertible Note in the principal amount of $16,500, for a purchase price of $15,000, convertible into 330,000 shares of common stock of Issuer.
F2 Not Applicable.
F3 Reporting Person acquired Issuer's Warrants as part of Reporting Person's purchase of Issuer's Convertible Note reported above.