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*
Khan Zel C

(Last) (First) (Middle)
7941 KATY FREEWAY
SUITE 522

(Street)
HOUSTON TX 77024

(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
X Officer (give title below) Other (specify below)
CEO
3. Date of Earliest Transaction (Month/Day/Year)
03/31/2018
4. If Amendment, Date of Original Filed (Month/Day/Year)
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(1) 11/13/2018 A 625,000 A $0.08 43,592,053 I Jovian Petroleum Corporation
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(2) $0.1 03/31/2018 P 250,000 03/31/2018 03/31/2020 Common Stock 250,000 $0.1 11,360,000 D
Warrant(2) $0.1 06/30/2018 P 250,000 06/30/2018 06/30/2020 Common Stock 250,000 $0.1 11,610,000 D
Warrant(2) $0.1 09/30/2018 P 250,000 09/30/2018 09/30/2020 Common Stock 250,000 $0.1 10,960,000 D
Warrant(1) $0.1 11/02/2018 P 1,250,000 11/01/2018 11/01/2020 Common Stock 1,250,000 $0.1 12,210,000 I Jovian Petroleum Corporation
Warrant(2) $0.1 12/31/2018 P 250,000 12/31/2018 12/31/2020 Common Stock 250,000 $0.1 12,460,000 D
Warrant(3)(4) $0.1 03/31/2019 P 250,000 03/31/2019 03/31/2021 Common Stock 250,000 $0.1 12,620,000 D
Explanation of Responses:
1. Jovian Petroleum Corporation participated in the PPM#4, in which 625,000 Shares were issued at $0.08/share and an associated 1,250,000 Warrants at $0.10/share if exercised. The transaction had an aggregate amount of $50,000.
2. Mr. Khan receives a 250,000-warrant issuance quarterly as part of his compensation 2018 compensation package for his service on the Board; exercisable for 24 months.
3. Mr. Khan receives a 250,000-warrant issuance quarterly as part of his compensation 2019 compensation package for his service on the Board; exercisable for 24 months.
4. Mr. Khan, directly and indirectly had a series of warrants expire in 2018, this is reflected in the number of reported derivative securities reported on this form.
/s/ Zel C Khan 05/07/2019
** Signature of Reporting Person Date
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* 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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