0001610549-15-000028.txt : 20151116 0001610549-15-000028.hdr.sgml : 20151116 20151116180746 ACCESSION NUMBER: 0001610549-15-000028 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151111 FILED AS OF DATE: 20151116 DATE AS OF CHANGE: 20151116 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: 151236596 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 2015-11-11 0 0000316736 FIELDPOINT PETROLEUM CORP FPP 0001610543 Carnes Donald F. 400 W. 15TH STREET SUITE 808 AUSTIN TX 78701 0 0 1 0 Common Stock 2572424 I As administrator Common Stock 2015-11-12 4 S 0 3900 1.1 D 64100 I By Brady Energy Corporation Common Stock 2015-11-13 4 S 0 286 1.09 D 63814 I By Brady Energy Corporation Warrants 4 2012-03-23 2018-03-23 Common Stock 309415 309415 I As administrator Warrants 4 2015-11-11 4 S 0 400 0.0701 D 2012-03-23 2018-03-23 Common Stock 400 50600 I By Brady Energy Corporation Warrants 4 2015-11-12 4 S 0 2224 0.0602 D 2012-03-23 2018-03-23 Common Stock 2224 48376 I By Brady Energy Corporation Warrants 4 2015-11-13 4 S 0 100 0.066 D 2012-03-23 2018-03-23 Common Stock 100 48276 I By Brady Energy Corporation As administrator of the Estate of Rayford Darell Reaves, Jr. The Estate of Rayford Darell Reaves, Jr. owns 100% of Brady Energy Corporation. Donald F. Carnes 2015-11-16