0001610549-17-000019.txt : 20170221 0001610549-17-000019.hdr.sgml : 20170221 20170221184955 ACCESSION NUMBER: 0001610549-17-000019 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170217 FILED AS OF DATE: 20170221 DATE AS OF CHANGE: 20170221 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: 17626582 MAIL ADDRESS: STREET 1: 509 WEST 18TH STREET CITY: AUSTIN STATE: TX ZIP: 78701 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2017-02-17 0 0000316736 FIELDPOINT PETROLEUM CORP FPP 0001610543 Carnes Donald F. 509 WEST 18TH STREET AUSTIN TX 78701 0 0 1 0 Common Stock 2017-02-17 4 S 0 10000 0.55 D 2391099 I As administrator Common Stock 2017-02-21 4 S 0 5000 0.561 D 2386099 I As administrator Common Stock 2017-02-21 4 S 0 750 0.58 D 2385349 I As administrator Common Stock 2017-02-21 4 S 0 4250 0.553 D 2381099 I As administrator Common Stock 18150 I By Brady Energy Corporation Warrants 4 2017-02-17 4 S 0 10000 0.028 D 2012-03-23 2018-03-23 Common Stock 10000 129415 I As administrator Warrants 4 2017-02-21 4 S 0 10000 0.027 D 2012-03-23 2018-03-23 Common Stock 10000 119415 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 2017-02-21