Initial Statement of Beneficial Ownership (3)
09 Mai 2023 - 5:10PM
Edgar (US Regulatory)
FORM 3
|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
|
OMB APPROVAL
OMB Number:
3235-0104
Estimated average burden hours per response...
0.5
|
|
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
|
|
1. Name and Address of Reporting Person
*
Heckman Thomas J |
2. Date of Event Requiring Statement (MM/DD/YYYY)
5/5/2023
|
3. Issuer Name and Ticker or Trading Symbol
AMERICAN NOBLE GAS, INC. [AMNI]
|
(Last)
(First)
(Middle)
15612 COLLEGE BLVD. |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director ___X___ 10% Owner ___X___ Officer (give title below) _____ Other (specify below) CEO & CFO / |
(Street)
LENEXA, KS 66219
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
|
Table I - Non-Derivative Securities Beneficially Owned
|
1.Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 2500000 | D | |
Common Stock | 449306 | I | Through Ozark Capital, LLC (1) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security (Instr. 4) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 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 |
Stock Option | 6/4/2021 | 6/4/2031 | Common stock | 500000 | $0.5 | D | |
Stock Option | 5/30/2013 | 5/30/2023 | Common stock | 2000 | $3 | D | |
Warrant to purchase common stock | 9/26/2021 | 9/26/2026 | Common stock | 256410 | $0.05 | I | Through Ozark Capital, LLC (1) |
Warrant to purchase common stock | 11/5/2023 | 11/5/2029 | Common stock | 5000000 | $0.05 | I | Through Ozark Capital, LLC (1) |
Series A Convertible Preferred Stock | 3/26/2021 | (2) | Common stock | 347188 | $0.05 | I | Through Ozark Capital, LLC (1) |
Series B Convertible Preferred Stock | 5/5/2023 | (2) | Common stock | 5000000 | $0.05 | I | Through Ozark Capital, LLC (1) |
Explanation of Responses: |
(1) | Reporting Person controls and owns Ozark Capital, LLC which is the owner of these shares and/or warrants. |
(2) | The Company's Series A and B Convertible Preferred Stock has no expiration or redemption date. |
Reporting Owners
|
Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Heckman Thomas J 15612 COLLEGE BLVD. LENEXA, KS 66219 |
| X | CEO & CFO |
|
Signatures
|
Thomas J. Heckman | | 5/9/2023 |
**Signature of Reporting Person | Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
* | 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). |
Note: | File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. |
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. |
Infinity Energy Resources (QB) (USOTC:IFNY)
Historical Stock Chart
Von Apr 2024 bis Mai 2024
Infinity Energy Resources (QB) (USOTC:IFNY)
Historical Stock Chart
Von Mai 2023 bis Mai 2024
Echtzeit-Nachrichten über Infinity Energy Resources Inc (QB) (OTCMarkets): 0 Nachrichtenartikel
Weitere American Noble Gas, Inc. News-Artikel