0001209191-15-030034.txt : 20150327 0001209191-15-030034.hdr.sgml : 20150327 20150327191625 ACCESSION NUMBER: 0001209191-15-030034 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20131015 FILED AS OF DATE: 20150327 DATE AS OF CHANGE: 20150327 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Enerpulse Technologies, Inc. CENTRAL INDEX KEY: 0001495899 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLE PARTS & ACCESSORIES [3714] IRS NUMBER: 272969241 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2451 ALAMO AVENUE SE CITY: ALBUQUERQUE STATE: NM ZIP: 87106 BUSINESS PHONE: 505-842-5201 MAIL ADDRESS: STREET 1: 2451 ALAMO AVENUE SE CITY: ALBUQUERQUE STATE: NM ZIP: 87106 FORMER COMPANY: FORMER CONFORMED NAME: L2 MEDICAL DEVELOPMENT CO DATE OF NAME CHANGE: 20130415 FORMER COMPANY: FORMER CONFORMED NAME: SMSA Katy Acquisition Corp DATE OF NAME CHANGE: 20100702 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Templeton Bryan C CENTRAL INDEX KEY: 0001586059 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-54092 FILM NUMBER: 15732214 MAIL ADDRESS: STREET 1: C/O ENERPULSE, INC. STREET 2: 2451 ALAMO AVE., SE CITY: ALBUQUERQUE STATE: NM ZIP: 87106 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2013-10-15 0 0001495899 Enerpulse Technologies, Inc. ENPT 0001586059 Templeton Bryan C C/O ENERPULSE TECHNOLOGIES, INC. 2451 ALAMO AVE SE ALBUQUERQUE NM 87106 0 1 0 0 CFO & Treasurer Employee Stock Option (Right to Buy) 3.00 2013-10-15 4 A 0 24052 0.00 A 2023-10-15 Common Stock 24052 24052 D Employee Stock Option (Right to Buy) 0.75 2014-06-30 4 A 0 4972 A 2017-04-05 Common Stock 4972 4972 D Employee Stock Option (Right to Buy) 0.9051 2014-06-30 4 D 0 4972 D 2017-04-05 Common Stock 4972 0 D Employee Stock Option (Right to Buy) 0.75 2014-06-30 4 A 0 2486 A 2018-06-05 Common Stock 2486 2486 D Employee Stock Option (Right to Buy) 0.9051 2014-06-30 4 D 0 2486 D 2018-06-05 Common Stock 2486 0 D Employee Stock Option (Right to Buy) 0.75 2014-06-30 4 A 0 9944 A 2020-08-06 Common Stock 9944 9944 D Employee Stock Option (Right to Buy) 0.9051 2014-06-30 4 D 0 9944 D 2015-08-05 Common Stock 9944 0 D Employee Stock Option (Right to Buy) 0.75 2014-06-30 4 A 0 9944 A 2022-01-19 Common Stock 9944 9944 D Employee Stock Option (Right to Buy) 0.9051 2014-06-30 4 D 0 9944 D 2022-01-19 Common Stock 9944 0 D Employee Stock Option (Right to Buy) 0.75 2014-06-30 4 A 0 24052 A 2023-10-15 Common Stock 24052 24052 D Employee Stock Option (Right to Buy) 3.00 2014-06-30 4 D 0 24052 D 2023-10-15 Common Stock 24052 0 D Employee Stock Option (Right to Buy) 0.50 2014-08-06 4 A 0 50393 0.00 A 2024-08-06 Common Stock 50393 50393 D 6% Senior Secured Convertible Note 0.20 2015-02-20 4 P 0 10000.00 A 2018-02-20 Common Stock 50000 10000.00 D Warrant (Right to Buy) 0.20 2015-02-20 4 P 0 25000 A 2020-02-20 Common Stock 25000 25000 D The shares subject to the option shall vest and become exercisable ratably in annual installments over three years beginning on October 15, 2014 until fully vested on October 15, 2016. The shares subject to the option are 100% vested and excercisable. The reporting person agreed to cancellation of an option issued to him on September 4, 2013, in exchange for a new option having a lower exercise price. The expiration date of the new option has been extended from the expiration date of the original option that was issued on September 4, 2013. The shares subject to the cancelled option would have vested and became exercisable ratably in annual installments over three years beginning on January 19, 2012 until fully vested on January 19, 2015. The reporting person agreed to cancellation of an option granted to him on October 15, 2013, in exchange for a new option having a lower exercise price. The shares subject to the option shall vest and become exercisable ratably in annual installments over three years beginning on August 6, 2015 until fully vested on August 6, 2017. All amounts due under the 6% senior secured convertible note are convertible at any time, in whole or in part, at the option of the reporting person into shares of common stock at a fixed, initial conversion price of $0.20 per share, which is subject to adjustment for stock splits, stock dividends, combinations, or similar events or to prevent dillution. The note and warrant were purchased by the reporting person for the aggregate purchase price of $10,000. The warrant is exercisable at any time on or after the date of issuance at an initial exercise price equal to $0.20 per share, subject to adjustment for stock splits, stock dividends, combinations, or similar events or to prevent dillution. Bryan C. Templeton 2015-03-26