0001493152-17-003419.txt : 20170403
0001493152-17-003419.hdr.sgml : 20170403
20170403170927
ACCESSION NUMBER: 0001493152-17-003419
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170330
FILED AS OF DATE: 20170403
DATE AS OF CHANGE: 20170403
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Quest Solution, Inc.
CENTRAL INDEX KEY: 0000278165
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373]
IRS NUMBER: 020314487
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 860 CONGER STREET
CITY: EUGENE
STATE: OR
ZIP: 97402
BUSINESS PHONE: 800-242-7272
MAIL ADDRESS:
STREET 1: 860 CONGER STREET
CITY: EUGENE
STATE: OR
ZIP: 97402
FORMER COMPANY:
FORMER CONFORMED NAME: AMERIGO ENERGY, INC.
DATE OF NAME CHANGE: 20081112
FORMER COMPANY:
FORMER CONFORMED NAME: STRATEGIC GAMING INVESTMENTS, INC.
DATE OF NAME CHANGE: 20060501
FORMER COMPANY:
FORMER CONFORMED NAME: LEFT RIGHT MARKETING TECHNOLOGY INC
DATE OF NAME CHANGE: 20031002
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lewis William Austin IV
CENTRAL INDEX KEY: 0001344991
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-09047
FILM NUMBER: 17735136
MAIL ADDRESS:
STREET 1: 201 E 87TH STREET
STREET 2: APT 5H
CITY: NEW YORK
STATE: NY
ZIP: 10128
4
1
form4.xml
X0306
4
2017-03-30
0
0000278165
Quest Solution, Inc.
QUES
0001344991
Lewis William Austin IV
C/O QUEST SOLUTION, INC.
860 CONGER STREET
EUGENE,
OR
97402
1
0
0
0
Option to Purchase
.089
2017-03-30
4
A
0
350000
0
A
2022-03-31
Common Stock
350000
350000
D
The options are exercisable as follows: options to purchase 116,666 are immediately vested; options to purchase 116,667 vest on March 30, 2018, and options to purchase 116,667 shares vest on March 30, 2019, subject to any change in control acceleration provisions.
Mr. Lewis also holds options to purchase 36,000 shares at $.33 per share, all of which are vested, granted on July 9, 2015 and expiring July 9, 2018.
/s/ W. Austin Lewis IV
2017-04-03