QS Energy, Inc. — Director's Dealing 2017

Apr 6, 2017

SEC Form 3 — Initial Statement of Beneficial Ownership

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

Reporting Person: McMullen Michael Scott (Chief Financial Officer)

Holdings (Derivative)

Security	Exercise Price	Expiration	Underlying	Shares	Ownership
Option to Purchase Common Stock	$	2027-04-01	Common Stock (250000)		Direct
Option to Purchase Common Stock	$0.18	2026-05-05	Common Stock (500000)		Direct
Option to Purchase Common Stock	$0.80	2024-05-01	Common Stock (50000)		Direct

Footnotes

F1: The stock options reported under item 1 above were granted to Mr. McMullen pursuant to his employment agreement as Chief Financial Officer, approved by the Board on 03/29/2017 and effective 04/01/2017. Fifty percent of the options granted under item 1 vested effective 04/01/2017, with the remaining fifty percent vesting on 04/01/2018. The exercise price of the options listed in item 1 equals the stock price listed on the OTCBB market at market close on 04/01/2017.

F2: Fifty percent of the options granted under item 1 vested effective 05/05/2017, with the remaining fifty percent vesting on 05/05/2018.

F3: Fifty percent of the options granted under item 1 vested effective 05/01/2015, and the remaining fifty percent vested on 05/05/2016.