0001610543-15-000017.txt : 20150908 0001610543-15-000017.hdr.sgml : 20150907 20150908155830 ACCESSION NUMBER: 0001610543-15-000017 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150901 FILED AS OF DATE: 20150908 DATE AS OF CHANGE: 20150908 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FIELDPOINT PETROLEUM CORP CENTRAL INDEX KEY: 0000316736 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 840811034 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 609 CASTLE ROAD STREET 2: SUITE 335 CITY: AUSTIN STATE: TX ZIP: 78746 BUSINESS PHONE: 5122508692 MAIL ADDRESS: STREET 1: 609 CASTLE ROAD STREET 2: SUITE 335 CITY: AUSTIN STATE: TX ZIP: 78746 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Carnes Donald F. CENTRAL INDEX KEY: 0001610543 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32624 FILM NUMBER: 151096840 MAIL ADDRESS: STREET 1: 400 W. 15TH STREET STREET 2: SUITE 808 CITY: AUSTIN STATE: TX ZIP: 78701 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2015-09-01 0 0000316736 FIELDPOINT PETROLEUM CORP FPP 0001610543 Carnes Donald F. 400 W. 15TH STREET SUITE 808 AUSTIN TX 78701 0 0 1 0 Warrants 4 2015-09-01 4 S 0 20000 0.0457 D 2012-03-23 2018-03-23 Common Stock 20000 381325 I Held as administrator of the Estate of Rayford Darell Reaves, Jr. Donald F. Carnes 2015-09-08