QS Energy, Inc. — Director's Dealing 2017

Apr 18, 2017

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: QS Energy, Inc. (QSEP)
CIK: 0001103795
Period of Report: 2017-04-17

Reporting Person: Bunting Eric (Director)

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2017-04-18	Convertible Note	$0.05	A	55000	Acquired		Common Stock (1100000)	Direct
2017-04-18	Warrants	$0.05	A	55000	Acquired	2018-04-18	Common Stock (550000)	Direct

Footnotes

F1: Reporting Person acquired Issuer's Convertible Note in the principal amount of $55,000, for a purchase price of $50,000, convertible into 1,100,000 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.