0001610549-17-000025.txt : 20170302 0001610549-17-000025.hdr.sgml : 20170302 20170302133751 ACCESSION NUMBER: 0001610549-17-000025 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170228 FILED AS OF DATE: 20170302 DATE AS OF CHANGE: 20170302 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: 17657969 MAIL ADDRESS: STREET 1: 509 WEST 18TH STREET CITY: AUSTIN STATE: TX ZIP: 78701 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2017-02-28 0 0000316736 FIELDPOINT PETROLEUM CORP FPP 0001610543 Carnes Donald F. 509 WEST 18TH STREET AUSTIN TX 78701 0 0 1 0 Common Stock 2017-02-28 4 S 0 755 0.52 D 2342445 I As administrator Common Stock 2017-02-28 4 S 0 2844 0.507 D 2339601 I As administrator Common Stock 2017-02-28 4 S 0 6401 0.49 D 2333200 I As administrator Common Stock 18150 I By Brady Energy Corporation Warrants 4 2017-02-28 4 S 0 10000 0.023 D 2012-03-23 2018-03-23 Common Stock 10000 69415 D 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 2017-03-01