Eric Bunting - Mar 22, 2023 Form 4 Insider Report for QS Energy, Inc. (QSEP)

Role
Director
Signature
/s/ Eric Bunting
Stock symbol
QSEP
Transactions as of
Mar 22, 2023
Transactions value $
$15,000
Form type
4
Date filed
3/23/2023, 05:21 PM
Previous filing
Aug 10, 2022
Next filing
Feb 13, 2024

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction QSEP Convertible Note Award $15K 9.19M Mar 22, 2023 Common Stock 330K $0.05 Direct F1, F2
transaction QSEP Warrants Award +330K +3.59% 9.52M Mar 22, 2023 Common Stock 330K $0.07 Direct F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Reporting Person acquired Issuer's Convertible Note in the principal amount of $16,500, for a purchase price of $15,000, convertible into 330,000 shares of common stock of Issuer.
F2 Not Applicable.
F3 Reporting Person acquired Issuer's Warrants as part of Reporting Person's purchase of Issuer's Convertible Note reported above.