0001213900-13-004573.txt : 20130816
0001213900-13-004573.hdr.sgml : 20130816
20130816185833
ACCESSION NUMBER: 0001213900-13-004573
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130812
FILED AS OF DATE: 20130816
DATE AS OF CHANGE: 20130816
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: 131046566
MAIL ADDRESS:
STREET 1: 133 RICHMOND STREET WEST 401
STREET 2: TORONTO ONTARIO CANADA M5H 2L3
CITY: TORONTO
STATE: A6
ZIP: 00000
4
1
f4081213roff_deepwell.xml
OWNERSHIP DOCUMENT
X0306
4
2013-08-12
0
0000869495
DEEP WELL OIL & GAS INC
DWOG.PK
0001098363
ROFF DAVID
27 CHICORA AVENUE
TORONTO
A6
M5R 1T7
ONTARIO, CANADA
1
0
0
0
Common Shares
2013-08-12
4
M
0
150000
0.05
A
312441
D
Common Shares
2013-08-12
4
M
0
450000
0.14
A
762441
D
Stock Option (right to acquire)
0.05
2013-08-12
4
M
0
150000
0
D
2018-06-20
Common Stock
150000
750000
D
Stock Option (right to acquire)
0.14
2013-08-12
4
M
0
450000
0
D
2016-03-23
Common Stock
450000
300000
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. On August 12, 2013, Mr. Roff exercised 150,000 stock options.
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, all of which have since vested and are fully exercisable. On August 12, 2013, Mr. Roff exercised 450,000 stock options.
/s/ David Roff
2013-08-14