QS Energy, Inc. — Director's Dealing 2017

Oct 3, 2017

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: QS Energy, Inc. (QSEP)
CIK: 0001103795
Period of Report: 2017-05-01

Reporting Person: Bunting Eric (Director)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2017-05-01	Common Stock	C	1100000	$.05	Acquired	7835430	Direct

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2017-05-01	Convertible Note	$0.05	C	1100000	Disposed		Common Stock (1100000)	Direct

Footnotes

F1: Total Numbers of Securities and Derivative Securities Beneficially Owned are as of the date of this report, 10/2/2017, not the date of the transaction.

F2: Reporting Person converted Issuer's Convertible Note acquired on 4/18/2017. This conversion was executed by Reporting Person on 05/01/2017, but not previously reported.

F3: Reporting Person acquired Issuer's Convertible Note in the principal amount of $55,000, for a purchase price of $50,000.