SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
McEwen David S

(Last) (First) (Middle)
13601 PRESTON ROAD
SUITE E816

(Street)
DALLAS TX 75240

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/18/2017
3. Issuer Name and Ticker or Trading Symbol
DALA PETROLEUM CORP. [ DALP ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
Chairman, President and CEO
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock par value $0.001 13,500,000 D
Common Stock par value $0.001 12,100,000 I Through Shareholder Voting Agreement(1)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Options 03/18/2018 03/18/2023 Common Stock 187,250 $0.22 D
Options 06/18/2018 06/18/2023 Common Stock 187,250 $0.22 D
Options 09/18/2018 09/18/2023 Common Stock 187,250 $0.22 D
Options 12/18/2018 12/18/2023 Common Stock 187,250 $0.22 D
Options 03/18/2019 03/18/2024 Common Stock 187,250 $0.22 D
Options 06/18/2019 06/18/2024 Common Stock 187,250 $0.22 D
Options 09/18/2019 09/18/2024 Common Stock 187,250 $0.22 D
Options 12/18/2019 12/18/2024 Common Stock 187,250 $0.22 D
Explanation of Responses:
1. See Exhibit 9, Shareholder Voting Agreement to Amended Current Report on Form 8-K/A-1 dated November 15, 2017, and filed December 20, 2017.
/s/ D. Sean McEwen 12/27/2017
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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