Filing Details

Accession Number:
0001140361-15-002610
Form Type:
5
Zero Holdings:
No
Publication Time:
2015-01-23 17:08:17
Reporting Period:
2014-12-31
Filing Date:
2015-01-23
Accepted Time:
2015-01-23 17:08:17
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
278165 Quest Solution Inc. QUES Services-Computer Integrated Systems Design (7373) 020314487
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1264528 F Jason Griffith 2580 Anthem Village Drive
Henderson NV 89502
Chief Executive Officer Yes Yes Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Preferred Stock Acquisiton 2011-03-23 250,000 $0.46 250,000 No 4 J Direct
Preferred Stock Acquisiton 2012-05-17 250,000 $0.70 500,000 No 4 P Direct
Common Stock Acquisiton 2008-09-19 18,750 $0.83 518,750 No 4 J Direct
Common Stock Acquisiton 2011-03-29 821,475 $0.07 1,340,225 No 4 J Direct
Common Stock Acquisiton 2011-03-29 573,800 $0.07 1,914,025 No 4 J Direct
Common Stock Acquisiton 2012-01-13 4,000,000 $0.04 5,914,025 No 4 J Direct
Common Stock Acquisiton 2012-05-17 1,265,764 $0.01 7,179,789 No 4 P Direct
Common Stock Disposition 2012-11-18 1,265,764 $0.01 5,914,025 No 4 G Direct
Common Stock Acquisiton 2013-12-30 1,800,000 $0.19 7,714,025 No 4 J Direct
Common Stock Acquisiton 2013-12-30 1,240,000 $0.19 8,954,025 No 4 J Direct
Common Stock Acquisiton 2013-12-30 560,000 $0.20 9,514,025 No 4 J Direct
Common Stock Acquisiton 2014-03-18 14,263 $1.00 9,528,288 No 4 J Direct
Common Stock Disposition 2014-01-30 200,000 $0.13 9,328,288 No 4 J Direct
Common Stock Disposition 2014-10-14 8,000,000 $0.00 9,328,288 No 4 J Indirect By Irrevocable Trust
Common Stock Acquisiton 2014-12-31 69,079 $0.38 9,397,367 No 4 J Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 J Direct
No 4 P Direct
No 4 J Direct
No 4 J Direct
No 4 J Direct
No 4 J Direct
No 4 P Direct
No 4 G Direct
No 4 J Direct
No 4 J Direct
No 4 J Direct
No 4 J Direct
No 4 J Direct
No 4 J Indirect By Irrevocable Trust
No 4 J Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Warrant to Purchase Common Stock Acquisiton 2011-12-21 10,000,000 $0.00 10,000,000 $0.01
Common Stock Warrant to Purchase Common Stock Disposition 2013-12-30 10,000,000 $0.00 10,000,000 $0.01
Common Stock Stock Option Acquisiton 2014-11-21 1,200,000 $0.00 1,200,000 $0.50
Common Stock Stock Option Acquisiton 2014-11-21 2,200,000 $0.00 2,200,000 $0.50
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
19,328,288 2011-12-21 2018-12-21 No 4 J Direct
9,328,288 2011-12-21 2018-12-21 No 4 J Direct
10,528,288 2024-11-20 No 4 A Direct
12,728,288 2024-11-20 No 4 A Direct
Footnotes
  1. In settlement of debt owed by Issuer to Reporting Person, Issuer issued stock to Reporting Person. Issuer issued stock to Reporting Person at or above the market price of the stock.
  2. These shares are held in an irrevocable trust for the benefit of the Reporting Person for which the Reporting Person serves as trustee.
  3. Reporting Person was issued 10,000,000 warrants in 2011 at $0.01 strike price. In 2013, he agreed to return those warrants to the Issuer in exchange for the 1,800,000 shares on 12/30/2013.
  4. The option vests with respect to 200,000 shares on November 20, 2014, and the balance will vest in a series of twenty (20) equal quarterly installments over a five year period.
  5. The option will vest and become exercisable for all of the shares on November 21, 2023 provided that the Reporting Person remains in continuous service with the Issuer on such date. The unvested option shares shall accelerate as follows: (a) To the extent the Issuer achieves annual net revenues between $100 million and $150 million in any given year, an additional 200,000 shares shall immediately vest; (b) To the extent the Issuer achieves net revenues between $150 million and $200 million in any given year, an additional 400,000 shares shall immediately vest.
  6. To the extent the Issuer achieves annual net revenues between $200 million and $300 million in any given year, an additional 600,000 shares shall immediately vest; and (d) To the extent the Issuer achieves annual net revenues in excess of $300 million in any given year, an additional 1,000,000 shares shall immediately vest (until in each case the option is fully vested). In the event of any acceleration event in (a) through (d) above where net income as a percentage of net revenues exceeds 10%, then the shares vesting on such event shall be increased by 50%, but to the extent net income as a percentage of net revenues for such year is less than 5%, then the shares vesting on such event shall be decreased by 50%.