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QS Energy, Inc. Director's Dealing 2017

Jul 19, 2017

10545_dirs_2017-07-19_b6fd0428-9911-4180-860e-529e6053de81.zip

Director's Dealing

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SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: QS Energy, Inc. (QSEP)
CIK: 0001103795
Period of Report: 2017-07-19

Reporting Person: Bunting Eric (Director)

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2017-07-19 Common Stock C 550000 $0.05 Acquired 6254426 Direct
2017-07-19 Common Stock C 178002 $0.07 Acquired 6432428 Direct

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2017-07-19 Warrants $0.05 C 550000 Disposed 2018-04-18 Common Stock (550000) Direct
2017-07-19 Options $0.07 C 178002 Disposed 2027-04-01 Common Stock (178002) Direct

Footnotes

F1: Reporting Person converted Issuer's Warrants received as part of Reporting Person's purchase of Issuer's Convertible Note acquired on 4/18/2017.

F2: Reporting Person converted stock options granted upon his appointment to Issuer's Board on 4/1/2017, as equity compensation under the Issuer's Board Compensation Policy, approved by the Board on 06/19/2015. As of 07/01/2017, a total of 178,002 of those stock options so issued had vested to Reporting Person.