0001493152-17-004484.txt : 20170427
0001493152-17-004484.hdr.sgml : 20170427
20170427171755
ACCESSION NUMBER: 0001493152-17-004484
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170427
FILED AS OF DATE: 20170427
DATE AS OF CHANGE: 20170427
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: Lustgarten Shai Shalom
CENTRAL INDEX KEY: 0001590995
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-09047
FILM NUMBER: 17790305
MAIL ADDRESS:
STREET 1: 27, HAMETZUDA STREET
CITY: AZOR
STATE: L3
ZIP: 5800171
FORMER NAME:
FORMER CONFORMED NAME: Lustgarten Shai
DATE OF NAME CHANGE: 20131104
4
1
form4.xml
X0306
4
2017-04-27
0
0000278165
Quest Solution, Inc.
QUES
0001590995
Lustgarten Shai Shalom
3663 GILROY ROAD
SALT LAKE CITY
UT
84109
1
1
0
0
Chief Executive Officer
Common Stock
2017-04-27
4
A
0
640000
A
640000
D
Stock Options
0.075
2017-04-27
4
A
0
760333
A
2017-02-17
2022-02-17
Common Stock
760333
760333
D
Stock Options
0.09
2017-04-27
4
A
0
760333
A
2018-02-19
2022-02-17
Common Stock
760333
760333
D
Stock Options
0.09
2017-04-27
4
A
0
760334
A
2019-02-17
2022-02-17
Common Stock
760334
760334
D
In connection with Mr. Shai Lustgarten's appointment as President and CEO of the Company, the Company and Mr. Lustgarten entered into an Employment Agreement dated February 17, 2017 and a Modification Agreement dated April 1, 2017 (collectively the "Lustgarten Employment Agreement"), pursuant to which Mr. Lustgarten shall be eligible to receive a one-time sign-on bonus of $48,000 worth of shares of the Company's restricted common stock which represents 640,000 restricted common stock, which will vest upon approval on the 2017 Financial Plan submitted to the Board of Directors. On April 27, 2017, the Board of Directors of the Company approved, authorized and directed the Company to issue 640,000 shares of Common Stock to Mr. Lustgarten.
Pursuant to the Lustgarten Employment Agreement, Mr. Lustgarten shall be able to receive a stock option grant of 2,281,000 stock options. The options are exercisable as follows: options to purchase 760,333 shares are immediately vested on February 17, 2017 at an exercise price of $0.075 per share; options to purchase 760,333 shares vest on February 19, 2018 at an exercise price of $0.09 per share, and options to purchase 760,334 shares vest on February 17, 2019 at an exercise price of $0.09 per share, subject to any change in control acceleration provisions. The exercise price of the options was agreed to pursuant to the Employment Agreement dated February 17, 2017.
/S/ Shai Lustgarten
2017-04-27