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