QS Energy, Inc. — Director's Dealing 2017

Apr 7, 2017

SEC Form 3 — Initial Statement of Beneficial Ownership

Issuer: QS Energy, Inc. (QSEP)
CIK: 0001103795
Period of Report: 2017-04-01

Reporting Person: Lane Jason B (Director, Chief Executive Officer)

Holdings (Non-Derivative)

Security	Shares	Ownership
Common Stock	7600	Direct

Holdings (Derivative)

Security	Exercise Price	Expiration	Underlying	Shares	Ownership
Options to purchase Common Stock	$0.07	2027-04-01	Common Stock (535714)		Direct
Options to purchase Common Stock	$	2027-04-01	Common Stock (3000000)		Direct

Footnotes

F1: The stock options reported under item 1 above were granted to Mr. Lane is his capacity as a member of Issuer's Board, as equity compensation under the Issuer's Board Compensation Policy, approved by the Board on 06/19/2015. The options granted under item 1 vest at the rate of 1/9 per month, commencing 04/01/2017, with full vesting on 12/31/2017.

F2: The stock options reported under item 1 above were granted to Mr. Lane pursuant to his employment agreement as Chief Executive Officer, approved by the Board on 03/29/2017 and effective 04/01/2017. 500,000 of the options at $.15 per share and 500,000 of the options at $.25 per share shall vest on 04/01/2018, and 1,000,000 of the options at $.30 per share and 1,000,000 of the options at $.40 per share shall vest on 04/01/2019