SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
SCHMID HORST A

(Last) (First) (Middle)
SUITE 700, 10150 - 100 STREET

(Street)
EDMONTON A0 T5J 0P6

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
DEEP WELL OIL & GAS INC [ DWOG ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
09/19/2014
4. If Amendment, Date of Original Filed (Month/Day/Year)
09/23/2014
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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (right to acquire) $0.38 09/19/2014 A 600,000(1)(3) (1) 09/19/2019 Common Stock 600,000 $0 2,870,000 D
Stock Option (right to acquire) $0.38 09/19/2014 A 1,200,000(2)(3) (2) 09/19/2019 Common Stock 1,200,000 $0 4,070,000 I See footnote(4)
Explanation of Responses:
1. Effective on September 19, 2014, Dr. Horst A. Schmid was granted options to purchase 600,000 shares each of common stock at an exercise price of $0.38 per common share, 200,000 vesting immediately and the remaining vesting one-third on September 29, 2015, and one-third on September 19, 2016, with a five-year life.
2. Effective on September 19, 2014, Portwest Investments Ltd. was granted options to purchase 1,200,000 shares each of common stock at an exercise price of $0.38 per common share, 600,000 vesting immediately and the remaining vesting September 19, 2015, with a five-year life.
3. Correcting error on last filed Form 4 filed on September 23, 2014. The number of Derivative Securities issued to Dr. Horst A. Schmid and Portwest Investments Ltd. was recorded in the wrong column under "Dispose Of" and has now been corrected and recorded under the "Acquired" column. This Form 4/A corrects this error in its entirety.
4. Portwest Investments Ltd., a company 100% owned by Dr. Horst A. Schmid.
/s/ Horst A. Schmid 02/10/2016
** 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 4 (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).
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