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QS Energy, Inc. Director's Dealing 2018

Apr 4, 2018

10545_dirs_2018-04-04_d8707e13-75c1-4088-8502-82979f28540f.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: 2018-03-30

Reporting Person: Bunting Eric (Director)

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2018-04-02 Common Stock C 225000 $.08 Acquired 8239530 Direct
2018-04-02 Common Stock C 550000 $.08 Acquired 8789530 Direct

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2018-03-30 Convertible Note $0.08 A Acquired Common Stock (550000) Direct
2018-03-30 Warrants $0.08 A 225000 Acquired 2019-03-30 Common Stock (225000) Direct
2018-04-02 Warrants $0.08 C 225000 Disposed 2019-03-30 Common Stock (225000) Direct
2018-04-02 Convertible Note $0.08 C 550000 Disposed Common Stock (550000) Direct

Footnotes

F1: Reporting Person acquired Issuer's Convertible Note in the principal amount of $44,000, for a purchase price of $40,000, convertible into 550,000 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 Issuer's Warrants received as part of Reporting Person's purchase of Issuer's Convertible Note acquired on 3/30/2018.

F5: Reporting Person converted the Convertible Note reported above.