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