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