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