0001610549-17-000009.txt : 20170207 0001610549-17-000009.hdr.sgml : 20170207 20170207133632 ACCESSION NUMBER: 0001610549-17-000009 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170203 FILED AS OF DATE: 20170207 DATE AS OF CHANGE: 20170207 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: 17578255 MAIL ADDRESS: STREET 1: 509 WEST 18TH STREET CITY: AUSTIN STATE: TX ZIP: 78701 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2017-02-03 0 0000316736 FIELDPOINT PETROLEUM CORP FPP 0001610543 Carnes Donald F. 509 WEST 18TH STREET AUSTIN TX 78701 0 0 1 0 Common Stock 2017-02-03 4 S 0 5000 0.605 D 2502424 I As administrator Common Stock 2017-02-03 4 S 0 10000 0.589 D 2492424 I As administrator Common Stock 2017-02-06 4 S 0 5000 0.599 D 2487424 I As administrator Common Stock 2017-02-06 4 S 0 5000 0.571 D 2482424 I As administrator Common Stock 18150 I By Brady Energy Corporation Warrants 4 2017-02-03 4 S 0 10000 0.03 D 2012-03-23 2018-03-23 Common Stock 10000 229415 I As administrator Warrants 4 2017-02-06 4 S 0 10000 0.031 D 2012-03-23 2018-03-23 Common Stock 10000 219415 I As administrator The Reporting Person is the 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 2017-02-07