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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN 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. | |||
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. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
10% Senior Secured Convertible Debenture | $ 0.25 | 01/13/2012 | P | 40,000 | 01/13/2012 | (1) | Common Stock | 40,000 | $ 10,000 (2) | 40,000 | D | ||||
10% Senior Secured Convertible Debenture | $ 0.25 | 01/13/2012 | P | 40,000 | 01/13/2012 | (1) | Common Stock | 40,000 | $ 10,000 (2) | 80,000 | D | ||||
10% Senior Secured Convertible Debenture | $ 0.25 | 01/13/2012 | P | 40,000 | 01/13/2012 | (1) | Common Stock | 40,000 | $ 10,000 (2) | 120,000 | D | ||||
10% Senior Secured Convertible Debenture | $ 0.25 | 01/13/2012 | P | 40,000 | 01/13/2012 | (1) | Common Stock | 40,000 | $ 10,000 (2) | 160,000 | D | ||||
10% Senior Secured Convertible Debenture | $ 0.25 | 01/13/2012 | P | 40,000 | 01/13/2012 | (1) | Common Stock | 40,000 | $ 10,000 (2) | 200,000 | D | ||||
10% Senior Secured Convertible Debenture | $ 0.25 | 01/13/2012 | P | 40,000 | 01/13/2012 | (1) | Common Stock | 40,000 | $ 10,000 (2) | 240,000 | D | ||||
10% Senior Secured Convertible Debenture | $ 0.25 | 01/13/2012 | P | 20,000 | 01/13/2012 | (1) | Common Stock | 20,000 | $ 5,000 (2) | 260,000 | D | ||||
Warrants | $ 0.25 | 01/13/2012 | P | 200 | 01/13/2012 | 01/12/2017 | Common Stock | 200 | (3) | 260,200 | D | ||||
Warrants | $ 0.25 | 01/13/2012 | P | 200 | 01/13/2012 | 01/12/2017 | Common Stock | 200 | (3) | 260,400 | D | ||||
Warrants | $ 0.25 | 01/13/2012 | P | 200 | 01/13/2012 | 01/12/2017 | Common Stock | 200 | (3) | 260,600 | D | ||||
Warrants | $ 0.25 | 01/13/2012 | P | 200 | 01/13/2012 | 01/12/2017 | Common Stock | 200 | (3) | 260,800 | D | ||||
Warrants | $ 0.25 | 01/13/2012 | P | 200 | 01/13/2012 | 01/12/2017 | Common Stock | 200 | (3) | 270,000 | D | ||||
Warrants | $ 0.25 | 01/13/2012 | P | 200 | 01/13/2012 | 01/12/2017 | Common Stock | 200 | (3) | 270,200 | D | ||||
Warrants | $ 0.25 | 01/13/2012 | P | 100 | 01/13/2012 | 01/12/2017 | Common Stock | 100 | (3) | 270,300 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
BIGGERS MARK WENDELL C/O VICTORY ENERGY CORPORATION 20341 IRVINE AVENUE, SUITE D6 NEWPORT BEACH, CA 92660 |
CHIEF FINANCIAL OFFICER |
/s/ Mark Biggers | 02/09/2012 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(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) | The Debenture is convertible at any time, at the holder's election, until the Debenture is no longer outstanding. The maturity date of the Debentures is September 30, 2013, but may be extended at the sole discretion of the Issuer to December 31 2013. |
(2) | On January 13, 2012, the reporting person participated in the Issuer's private placement of 450 Units to certain qualified investors. Each Unit is comprised of (i) a $10,000 principal amount 10% Senior Secured Convertible Debenture, and (ii) a five-year warrant to purchase 200 shares of common stock. The Units are being offered at a purchase price of $10,000 per Unit. The reporting person purchased six and on-half (6 1/2) Units for a total purchase price of $65,000. |
(3) | Warrants issued as part of the Units. |