0001683168-18-000467.txt : 20180220
0001683168-18-000467.hdr.sgml : 20180220
20180220135136
ACCESSION NUMBER: 0001683168-18-000467
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180101
FILED AS OF DATE: 20180220
DATE AS OF CHANGE: 20180220
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dickson Don
CENTRAL INDEX KEY: 0001584260
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-29185
FILM NUMBER: 18624068
MAIL ADDRESS:
STREET 1: 5266 HOLLISTER AVENUE
CITY: SANTA BARBARA
STATE: CA
ZIP: 93111
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
4
1
dickson_f4.xml
OWNERSHIP DOCUMENT
X0306
4
2018-01-01
0
0001103795
QS Energy, Inc.
QSEP
0001584260
Dickson Don
23902 FM 2978
TOMBALL
TX
77375
1
0
0
0
Options
0.18
2018-01-01
2018-01-01
4
A
0
277778
A
2018-01-31
2028-01-01
Common Stock
277778
1733981
D
The stock options reported under Item 1 above were granted to Reporting Person as equity compensation under Issuer's Board Compensation Policy, approved by the Board on 6/19/2015. The options vest at the rate of 1/12 per month, commencing 1/1/2018, with full vesting on 12/31/2018.
/s/ Don Dickson
2018-02-16