0001493152-19-016626.txt : 20191107 0001493152-19-016626.hdr.sgml : 20191107 20191107161533 ACCESSION NUMBER: 0001493152-19-016626 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191105 FILED AS OF DATE: 20191107 DATE AS OF CHANGE: 20191107 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: 191200516 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 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: 1865 WEST 2100 SOUTH CITY: SALT LAKE CITY STATE: UT ZIP: 84119 BUSINESS PHONE: 800-242-7272 MAIL ADDRESS: STREET 1: 1865 WEST 2100 SOUTH CITY: SALT LAKE CITY STATE: UT ZIP: 84119 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 4 1 ownership.xml X0306 4 2019-11-05 0 0000278165 Quest Solution, Inc. QUES 0001590995 Lustgarten Shai Shalom C/O QUEST SOLUTION, INC. 1865 WEST 2100 SOUTH SALT LAKE CITY UT 84119 1 1 1 0 Chief Executive Officer Common Stock 2019-11-05 4 A 0 317796 0 A 16576111 I See Footnote On October 5, 2018, Quest Solution, Inc. (the "Company") entered into a purchase agreement (the "Purchase Agreement") with Walefar Investments Ltd. ("Walefar"), Pursuant to the Purchase Agreement, the Company issued to Walefar a convertible promissory note with a principal amount of $700,000 and an interest rate of six percent (6%) per annum (the "Note"). Pursuant to the Note, Walefar may convert any and all accrued and unpaid principal and interest into shares of the Company's common stock at an exercise price of $0.236 per share (the "Exercise Price"). As of November 4, 2019, the accrued and unpaid balance under the Note was $150,000 (the "Balance"). On November 5, 2019, the Company and Walefar entered into a conversion agreement, pursuant to which Walefar agreed to convert $75,000 of the Balance at the Exercise Price and into 317,796 shares of the Company's common stock. The shares are held by Walefar Investments Ltd., which is beneficially owned by Mr. Lustgarten. /s/ Shai Lustgarten 2019-11-07