UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF 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. | SEC 1473 (7-02) | ||
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. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Stock Option (2) | 11/01-05:00/2012 | 01/25-06:00/2017 | Common Stock | 88,000 | $ 4.5 | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Hunter Richard S. T. C/0 BLACKSANDS PETROLEUM, INC. 800 BERING, SUITE 250 HOUSTON, TX 77057 |
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/s/ RICHARD S. T. HUNTER | 01/08-06:00/2014 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(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) | Mr. Hunter was granted a stock award of 25,000 shares of the Company's common stock, of which 6,250 shares vested immediately upon issuance and 3,125 shares shall vest every six months thereafter. Therefore, Mr. Hunter currently beneficially owns 18,750 shares of the Company's common stock. |
(2) | Mr. Hunter was granted an option award of 88,000 options, exercisable at $4.50 per share, which options shall vest 25% on November 1 of 2012 through 2015. Therefore, Mr. Hunter currently beneficially owns 44,000 stock options. |