0001213900-13-003479.txt : 20130705
0001213900-13-003479.hdr.sgml : 20130704
20130705140601
ACCESSION NUMBER: 0001213900-13-003479
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130620
FILED AS OF DATE: 20130705
DATE AS OF CHANGE: 20130705
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: DEEP WELL OIL & GAS INC
CENTRAL INDEX KEY: 0000869495
STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311]
IRS NUMBER: 133087510
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: SUITE 700
STREET 2: 10150 - 100 STREET
CITY: EDMONTON
STATE: A0
ZIP: T5J 0P6
BUSINESS PHONE: (780) 409-8144
MAIL ADDRESS:
STREET 1: SUITE 700
STREET 2: 10150 - 100 STREET
CITY: EDMONTON
STATE: A0
ZIP: T5J 0P6
FORMER COMPANY:
FORMER CONFORMED NAME: ALLIED DEVICES CORP
DATE OF NAME CHANGE: 19930328
FORMER COMPANY:
FORMER CONFORMED NAME: ILLUSTRIOUS MERGERS INC
DATE OF NAME CHANGE: 19600201
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ROFF DAVID
CENTRAL INDEX KEY: 0001098363
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-24012
FILM NUMBER: 13955453
MAIL ADDRESS:
STREET 1: 133 RICHMOND STREET WEST 401
STREET 2: TORONTO ONTARIO CANADA M5H 2L3
CITY: TORONTO
STATE: A6
ZIP: 00000
4
1
f4062013roff_deepwell.xml
OWNERSHIP DOCUMENT
X0306
4
2013-06-20
0
0000869495
DEEP WELL OIL & GAS INC
DWOG.PK
0001098363
ROFF DAVID
27 CHICORA AVENUE
TORONTO,
A6
M5R1T7
ONTARIO, CANADA
1
0
0
0
Stock Option (right to acquire)
0.05
2013-06-20
4
A
0
450000
0
A
2018-06-20
Common Stock
450000
900000
D
Effective on June 20, 2013, Mr. David Roff was granted options to purchase 450,000 shares each of common stock at an exercise price of $0.05 per common share, 150,000 vesting immediately and the remaining vesting one-third on June 20, 2014, and one-third on June 20, 2015, with a five-year life.
In addition, on March 23, 2011, Mr. Roff was granted options to purchase up to 450,000 shares of common stock at an exercise price of $0.14.
/s/ David Roff
2013-07-04