0001683168-20-000927.txt : 20200324
0001683168-20-000927.hdr.sgml : 20200324
20200324160804
ACCESSION NUMBER: 0001683168-20-000927
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200101
FILED AS OF DATE: 20200324
DATE AS OF CHANGE: 20200324
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Bunting Eric
CENTRAL INDEX KEY: 0001702927
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-29185
FILM NUMBER: 20738449
MAIL ADDRESS:
STREET 1: 10701 FORESTGATE
CITY: WICHITA
STATE: KS
ZIP: 67206
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
ownership.xml
X0306
4
2020-01-01
0
0001103795
QS Energy, Inc.
QSEP
0001702927
Bunting Eric
23902 FM 2978
TOMBALL
TX
77375
1
0
0
0
Options
.15
2020-01-01
2020-01-01
4
A
0
333333
A
2020-01-31
2030-01-01
Common Stock
333333
5779867
D
Convertible Note
.035
2020-03-23
2020-03-23
4
A
0
30000
30000
A
2020-03-23
Common Stock
942857
6722724
D
Warrants
.035
2020-03-23
2020-03-23
4
A
0
471429
A
2020-03-23
2021-03-23
Common Stock
471429
7194153
D
The stock options reported under item 1 above were granted to Reporting Person as equity compensation for service as a Director 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 1/1/2020, with full vesting on 12/31/2020.
Reporting Person acquired Issuer's Convertible Note in the principal amount of $33,000, for a purchase price of $30,000, convertible into 942,857 shares of common stock of Issuer.
Not applicable.
Reporting Person acquired Issuer's Warrants as part of Reporting Person's purchase of Issuer's Convertible Note reported above.
/s/ Eric Bunting
2020-03-24