SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
Nissensohn Carlos Jaime

(Last) (First) (Middle)
TRAVESSA DA PRAIA 12B

(Street)
PRAIA DA LUZ S1 8600

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
06/27/2018
3. Issuer Name and Ticker or Trading Symbol
Quest Solution, Inc. [ QUES ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Warrant 08/02/2017 08/02/2020 Common Stock 1,500,000 $0.11 D(1)(2)
Warrant 03/08/2018 03/08/2021 Common Stock 1,000,000 $0.11 D(1)(3)
Explanation of Responses:
1. This Form 3 amendment is being filed to correct the original Form 3 filed on June 29, 2018. Table II of the original Form 3 incorrectly omitted Mr. Nissensohn's ownership of derivative securities of Quest Solution, Inc.
2. As disclosed in a Current Report on Form 8-k filed on August 04, 2017, Quest Solution, Inc. issued the warrants to Mr. Nissensohn on August 02, 2017. The issuance was pursuant to Mr. Nissensohn's consulting agreement with Quest Solution, Inc. dated August 02, 2017.
3. As disclosed in a Current Report on Form 8-k filed on March 12, 2018, Quest Solution, Inc. issued the warrants to Mr. Nissensohn on March 08, 2018. The issuance was pursuant to Mr. Nissensohn's consulting agreement with Quest Solution, Inc. dated August 02, 2017.
/S/ Carlos Jaime Nissensohn 10/11/2018
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (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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