|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
|
| ||||||||||||||||||||||||||||||||||||||
|
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
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 Underlying Securities (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 of Derivative Security: 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 | ||||||||
Options to purchase Common Stock | $ 0.09 | 03/24/2015 | A | 2,000,000 | (3) | 03/24/2022 | Common Stock | 2,000,000 | (3) | 2,000,000 | D | ||||
Convertible Note | (4) | 12/18/2014 | A | 663,367 (4) | 12/18/2014 | 12/18/2016 | Common Stock | 663,367 (4) | (4) | 663,367 (4) | D | ||||
Convertible Note | (5) | 06/05/2013 | A | 137,500 (5) | 06/05/2013 | 06/05/2015 | Common Stock | 137,500 (5) | (5) | 137,500 (5) | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
LEE DAVID DONGHIE BIOSOLAR INC 27936 LOST CANYON ROAD SUITE 202 SANTA CLARITA, CA 91387 |
X | CEO, Acting CFO |
/s/ David Lee | 04/24/2015 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | Issued to Reporting person upon the conversion of $30,000 of a convertible promissory note granted to the Reporting Person by the Issuer for unpaid salary. |
(2) | Issued to Reporting person upon the conversion of $65,000 of a convertible promissory note granted to the Reporting Person by the Issuer for unpaid salary. |
(3) | Issued directly to the Reporting Person by the Issuer as compensation for services provided. Such options shall vest in 25 equal monthly installments beginning on April 24, 2015. |
(4) | Issued directly to Reporting Person by the Issuer in satisfaction of unpaid salary. The balance of the Promissory Note is convertible into shares of the Issuer's common stock at a conversion price equal to the lesser of (i) $0.101 per share, or (ii) the closing prices of the Issuer's common stock on the last complete trading day immediately preceding the date of conversion. The original balance of the Promissory Note was $67,000. The number of shares represents the number of shares that may be issuable assuming a conversion price of $0.101. The actual number of shares may vary depending on the actual conversion price at the date of conversion |
(5) | Issued directly to Reporting Person by the Issuer in satisfaction of unpaid salary. The balance of the Promissory Note is convertible into shares of the Issuer's common stock at a conversion price equal to the lesser of (i) $0.24 per share, or (ii) the closing prices of the Issuer's common stock on the last complete trading day immediately preceding the date of conversion. The original balance of the Promissory Note was $128,000, however, only $33,000 of such balance remains. The number of shares represents the number of shares that may be issuable assuming a conversion price of $0.24. The actual number of shares may vary depending on the actual conversion price at the date of conversion |