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 | ||||
Incentive Stock Options | Â (3) | 08/31/2025 | Common Stock | 400,000 | $ 1 | D | Â |
Non-Qualified Stock Options | Â (3) | 08/31/2025 | Common Stock | 3,100,000 | $ (4) | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
POWELL G ROBERT P.O. BOX 1204 LAFAYETTE, CA 94549 |
 X |  |  CEO of Blue Earth, Inc. |  |
G. Robert Powell | 09/08/2015 | |
**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. Powell was granted 500,000 restricted stock units consisting of 500,000 shares of Common Stock which will vest over a four-year period in arrears from September 1, 2015 in equal quarterly installments. |
(2) | Mr. Powell purchased 50,000 shares of Common Stock from the Company in a private placement dated as of August 31, 2015 at $0.7567 per share, the fair market value on that date. |
(3) | These options will vest over a four-year period in arrears from September 1, 2015 in equal quarterly installments. |
(4) | These options are exercisable at the following prices: 100,000 shares at $1.00 per share; 1,000,000 shares at $2.00 per share; 1,000,000 shares at $3.00 per share and 1,000,000 shares at $4.00 per share. |