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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 |
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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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Common Stock Purchase Option | (1) | 04/21/2016 | 04/21/2016 | J | 500,000 | (1) | 04/21/2016 | Common Stock | 500,000 | $ 0.28 | 590,000 | D | |||
Common Stock Purchase Options | (2) | 04/25/2016(2) | 04/25/2016(2) | J | 590,000 (2) | (2) | (2) | Common Stock | 590,000 | (2) | 0 | D | |||
Common Stock Purchase Options | $ 0.1 | 04/25/2016 | 04/25/2016 | A | 900,000 | 04/25/2016 | 04/25/2026 | Common Stock | 900,000 | $ 0.1 | 900,000 | D | |||
Common Stock Purchase Options | $ 0.1 | 04/25/2016 | 04/25/2016 | A | 2,100,000 | (3) | (3) | Common Stock | 2,100,000 | $ 0.1 | 3,000,000 | D | |||
Common Stock Purchase Options | $ 0.1 | 04/25/2016 | 04/25/2016 | A | 3,000,000 | (4) | (4) | Common Stock | 3,000,000 | $ 0.1 | 6,000,000 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
JENSEN LYLE C/O AMERICAN POWER GROUP 7 KIMBALL LANE, BLDG A LYNNFIELD, MA 01824 |
X | CEO and President |
/s/Charles E Coppa, attorney in fact | 04/29/2016 | |
**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) | Option to purchase 500,000 shares of common stock at an exercise price of $.28 which vested equally over a 5 year term from date of grant and had a 10 year term expired unexercised. |
(2) | Options to purchase 200,000 shares of common stock at prices ranging from $.33 to $.33 which vested equally over a 5 year term from date of grant and had a term of 10 years from date of grant were terminated by the company. Options to purchase 390,000 shares of common stock at prices ranging from $.23 to $.80 and which vested immediately on date of grant and had a 10 year term from date of grant were terminated by the company. |
(3) | The options vest equally over a period of 5 years from date of grant and have a 10 year term from date of grant. |
(4) | The options are exercisable in annual increments of 750,000 commencing in 2017 and ending in 2020 based on achievement of pre-determined performance goals set by the company's Board of Directors. The options have a 10 year term from date of grant. |