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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Convertible Promissory Note | (1) | 04/29/2010 | S | 1 (2) | (1) | (1) | Common Stock | (1) | (1) | 1 (1) | I | held by WS Oil & Gas Limited | |||
Convertible Promissory Note | (1) | 04/29/2010 | S | 1 (3) | (1) | (1) | Common Stock | (1) | (1) | 1 (1) | I | held by WS Oil & Gas Limited | |||
Convertible Promissory Note | (1) | 09/16/2010 | S | 1 (4) | (1) | (1) | Common Stock | (1) | (1) | 1 (1) | I | held by WS Oil & Gas Limited | |||
Convertible Promissory Note | (1) | 09/16/2010 | S | 1 (5) | (1) | (1) | Common Stock | (1) | (1) | 1 (1) | I | held by WS Oil & Gas Limited |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
GRAY EVERETT WILLARD II 3300 N. "A" STREET, BLDG 2, SUITE 218 MIDLAND, TX 79705 |
X | X | CEO/CFO/Pres/Sec/Treas/Chair |
Everett Willard Gray, II | 11/29/2010 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Convertible Promissory Note (the "WS Oil Note") issued to WS Oil & Gas Limited 8/24/2009. Interest and principal convertible at the greater of four times market price for the 5 trading days prior to conversion and $0.05. Upon completion of the transactions reported herein, a total of $400,000 remained due and payable to WS Oil and Gas Limited under the WS Oil Note. |
(2) | WS Oil & Gas Limited assigned $7,500 of the amounts due under the WS Oil Note to War Chest Multi-Strategy Fund, LLC, an entity unrelated to the Reporting Person. |
(3) | WS Oil & Gas Limited assigned $7,500 of the amounts due under the WS Oil Note to Barclay Lyons, LLC, an entity unrelated to the Reporting Person. |
(4) | WS Oil & Gas Limited assigned $25,000 of the amounts due under the WS Oil Note to War Chest Multi-Strategy Fund, LLC, an entity unrelated to the Reporting Person. |
(5) | WS Oil & Gas Limited assigned $25,000 of the amounts due under the WS Oil Note to Barclay Lyons, LLC, an entity unrelated to the Reporting Person. |