- Statement of Changes in Beneficial Ownership (4)
23 Marzo 2012 - 10:56AM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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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(f) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
PATON GAY CHRISTOPHER
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2. Issuer Name
and
Ticker or Trading Symbol
DELTA OIL & GAS INC
[
DLTA
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
_____ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
Chief Executive Officer
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(Last)
(First)
(Middle)
SUITE 604-700 WEST PENDER STREET
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3. Date of Earliest Transaction
(MM/DD/YYYY)
2/22/2012
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(Street)
VANCOUVER, A1 V6C 1G8
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock
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2/22/2012
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A
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100000
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A
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(1)
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1243932
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D
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Option to Buy
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$0.13
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3/21/2012
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A
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200000
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3/21/2012
(2)
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3/20/2017
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Common Stock
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200000
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$
0
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200000
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D
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Option to Buy
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$0.135
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1/19/2011
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1/18/2016
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Common Stock
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200000
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200000
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D
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Option to Buy
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$0.15
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4/6/2009
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4/6/2012
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Common Stock
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100000
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100000
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D
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Option to Buy
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$0.12
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12/2/2009
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12/1/2012
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Common Stock
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200000
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200000
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D
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Explanation of Responses:
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(
1)
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The shares were issued to the reporting person in consideration for services rendered under an Amended and Restated Consulting Agreement entered into on March 8, 2010 between the Issuer and CPG Consulting Ltd., a company controlled by the reporting person. This Consulting Agreement was filed as Exhibit 10.3 to the Issuer's Current Report on Form 8-K filed on March 9, 2010.
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(
2)
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100,000 options vest immediately and the remaining 100,000 options vest on June 1, 2012.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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PATON GAY CHRISTOPHER
SUITE 604-700 WEST PENDER STREET
VANCOUVER, A1 V6C 1G8
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X
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Chief Executive Officer
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Signatures
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/s/ Christopher Paton-Gay
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3/22/2012
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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