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 |
|
| ||||||||||||||||||||||||||||||
|
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) |
||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Warrant | 08/02/2017 | 08/02/2020 | Common Stock | 1,500,000 | $ 0.11 | D (1) (2) | Â |
Warrant | 03/08/2018 | 03/08/2021 | Common Stock | 1,000,000 | $ 0.11 | D (1) (3) | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Nissensohn Carlos Jaime TRAVESSA DA PRAIA 12B PRAIA DA LUZ, S1 8600 |
 |  X |  |  |
/S/ Carlos Jaime Nissensohn | 10/11/2018 | |
**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) | This Form 3 amendment is being filed to correct the original Form 3 filed on June 29, 2018. Table II of the original Form 3 incorrectly omitted Mr. Nissensohn's ownership of derivative securities of Quest Solution, Inc. |
(2) | As disclosed in a Current Report on Form 8-k filed on August 04, 2017, Quest Solution, Inc. issued the warrants to Mr. Nissensohn on August 02, 2017. The issuance was pursuant to Mr. Nissensohn's consulting agreement with Quest Solution, Inc. dated August 02, 2017. |
(3) | As disclosed in a Current Report on Form 8-k filed on March 12, 2018, Quest Solution, Inc. issued the warrants to Mr. Nissensohn on March 08, 2018. The issuance was pursuant to Mr. Nissensohn's consulting agreement with Quest Solution, Inc. dated August 02, 2017. |