Initial Statement of Beneficial Ownership (3)
September 22 2014 - 5:32PM
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
*
NODE-LANGLOIS PASCAL
|
2. Date of Event Requiring Statement (MM/DD/YYYY)
12/4/2013
|
3. Issuer Name
and
Ticker or Trading Symbol
DEEP WELL OIL & GAS INC [DWOG.PK]
|
(Last)
(First)
(Middle)
VOLTAIRE GROUP SA, RUE D'ESCH 412F
|
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
__
X
__ Director
_____ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
|
(Street)
LUXEMBOURG, N4 L-2086
(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)
|
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 (right to acquire)
|
(1)
|
12/4/2018
|
Common Stock
|
450000
|
$0.34
|
I
|
See footnote
(2)
|
Explanation of Responses:
|
(
1)
|
Effective on December 4, 2013, Voltaire Group SA, a company 100% owned by Mr. Pascal Node-Langlois, was granted options to purchase 450,000 shares each of common stock at an exercise price of $0.34 per common share, 150,000 vesting immediately and the remaining vesting one-third on December 4, 2014, and one-third on December 4, 2015, with a five-year life.
|
(
2)
|
Voltaire Group SA, a company 100% owned by Mr. Pascal Node-Langlois.
|
Reporting Owners
|
Reporting Owner Name / Address
|
Relationships
|
Director
|
10% Owner
|
Officer
|
Other
|
NODE-LANGLOIS PASCAL
VOLTAIRE GROUP SA
RUE D'ESCH 412F
LUXEMBOURG, N4 L-2086
|
X
|
|
|
|
Signatures
|
/s/ Pascal Node-Langlois
|
|
9/19/2014
|
**
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.
|
Deep Well Oil and Gas (CE) (USOTC:DWOG)
Historical Stock Chart
From Jun 2024 to Jul 2024
Deep Well Oil and Gas (CE) (USOTC:DWOG)
Historical Stock Chart
From Jul 2023 to Jul 2024