0001683168-17-001325.txt : 20170517 0001683168-17-001325.hdr.sgml : 20170517 20170517164246 ACCESSION NUMBER: 0001683168-17-001325 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170509 FILED AS OF DATE: 20170517 DATE AS OF CHANGE: 20170517 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: QS Energy, Inc. CENTRAL INDEX KEY: 0001103795 STANDARD INDUSTRIAL CLASSIFICATION: OIL & GAS FILED MACHINERY & EQUIPMENT [3533] IRS NUMBER: 522088326 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 23902 FM 2978 CITY: TOMBALL STATE: TX ZIP: 77375 BUSINESS PHONE: 805-845-3581 MAIL ADDRESS: STREET 1: 23902 FM 2978 CITY: TOMBALL STATE: TX ZIP: 77375 FORMER COMPANY: FORMER CONFORMED NAME: SAVE THE WORLD AIR INC DATE OF NAME CHANGE: 20000120 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Munn Richard William CENTRAL INDEX KEY: 0001706453 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-29185 FILM NUMBER: 17851937 MAIL ADDRESS: STREET 1: 15 CAMELOT OAKS CT. CITY: THE WOODLANDS STATE: TX ZIP: 77382 3 1 munn_f3.xml OWNERSHIP DOCUMENT X0206 3 2017-05-09 0 0001103795 QS Energy, Inc. QSEP 0001706453 Munn Richard William 23902 FM 2978 TOMBALL TX 77375 1 0 0 0 Options to purchase Common Stock .13 2017-05-09 2027-05-09 Common Stock 250000 D The stock options reported under item 1 above were granted to Mr. Munn is his capacity as a member of Issuer's Board, as equity compensation under the Issuer's Board Compensation Policy, approved by the Board on 06/19/2015. The options granted under item 1 vest at the rate of 1/8 per month, commencing 05/31/2017, with full vesting on 12/31/2017. /s/ Richard W. Munn 2017-05-14