QS Energy, Inc. — Director's Dealing 2017

May 17, 2017

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: QS Energy, Inc. (QSEP)
CIK: 0001103795
Period of Report: 2017-05-15

Reporting Person: Munn Richard William (Director)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2017-05-15	Common Stock	P	42000	$0.24	Acquired	42000	Direct
2017-05-15	Common Stock	C	220000	$0.05	Acquired	262000	Direct

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2017-05-15	Convertible Note	$0.05	A		Acquired		Common Stock (220000)	Direct
2017-05-15	Warrants	$0.05	A	110000	Acquired	2018-05-15	Common Stock (110000)	Direct
2017-05-15	Convertible Note	$0.05	D		Disposed		Common Stock (220000)	Direct

Footnotes

F1: Reporting Person acquired Issuer's Convertible Note in the principal amount of $11,000, for a purchase price of $10,000, convertible into 220,000 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.

F4: Reporting Person converted the Convertible Note listed above and described in Footnote 1 of this Form 4.