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