SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Oppenheim Joel Martin

(Last) (First) (Middle)
2035 SUL ROSS STREET

(Street)
HOUSTON TX 77098

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Petrolia Energy Corp [ BBLS ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
09/12/2016
4. If Amendment, Date of Original Filed (Month/Day/Year)
06/16/2017
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 09/12/2016 09/12/2016(1) A 250,000(2) A $0.08 950,000 D
Common Stock 12/07/2016 12/07/2016 C 300,000(3) A $0.08 1,250,000 D
Common Stock 05/26/2017 06/02/2017 A 20,000(4) A $0.12 1,270,000(4) D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Warrant $0.08 12/07/2016 11/14/2016 C 300,000(3) 08/18/2016 08/18/2019 Common Stock 300,000(3) $0 1,767,500(3) D
Warrant $0.12 05/23/2017 05/23/2017 P 500,000(5) 05/23/2017 05/23/2020 Common Stock 500,000(5) $0 2,267,500(5) D
Warrant $0.2 05/26/2017 06/06/2017 P 270,000(6) 06/06/2017 06/06/2020 Common Stock 270,000(6) $0 2,537,500(6) D
Explanation of Responses:
1. The original Form 4 indicated an earliest transaction date of 06/06/2017, it should have been 09/12/16.
2. The original Form 4 filed on 06/16/2017 inadvertently omitted reporting the acquisition of Common Stock as compensation for the conversion of debt held by Mr. Oppenheim in a transaction approved by the board in September 2016 and was disclosed in the 2016 3Q 10-Q filing.
3. The original Form 4 filed on 06/16/2017 inadvertently omitted reporting the acquisition of Common Stock through the exercising of Warrants previously issued on 08/18/2016 as part of his 2016 Directors Compensation and was disclosed in the 2016 3Q 10-Q filing.
4. The original Form 4 filed on 06/16/2017 erroneously reported that the Amount of Securities Beneficially Owned following the as 37,590 common shares. The correct number is 1,270,000 common shares after the included transactions disclosed in this filing.
5. The original Form 4 filed on 06/16/2017 erroneously reported that the Amount of Securities Beneficially Owned following the as 770,000 warrants. The correct number is 2,267,500 warrants.
6. The original Form 4 filed on 06/16/2017 erroneously reported that the Amount of Securities Beneficially Owned following the as 270,000 warrants. The correct number is 2,537,500 warrants.
Remarks:
All other line items previously reported on the original Form 4 have been omitted from this Form 4/A as they have not changed.
/s/ Joel M Oppenheim 02/13/2018
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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