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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT 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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(Print or Type Responses)
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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) | ||
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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 | ||||||||
| Employee Stock Option (Right to Buy) | $2 | 09/14/2012 | A(1) | 2,000,000 | (2) | 09/13/2017 | Common Stock | 2,000,000 | $ 0 | 250,000(3) | D | ||||
| Reporting Owner Name / Address | Relationships | |||
| Director | 10% Owner | Officer | Other | |
| NANVAAN RAJ S. 108-18 QUEENS BLVD. SUITE 901 FOREST HILLS, NY 11375 |
X | X | VP, CFO, Treasurer & COO | |
| /s/ Raj S. Nanvaan | 09/19/2012 | |
| ** Signature of Reporting Person |
Date
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| * | 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) | Grant of stock options pursuant to the Native American Energy Group 2011 Equity Incentive Plan. |
| (2) | The stock option award vests in four equal annual installments beginning on the first anniversary date. |
| (3) | This amended Form 4 is being filed to correct an error to Item No. 9. titled "Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)" contained in a Form 4 Report filed on September 18, 2012. The previous number was erroneously listed as 2,250,000. The 250,000 are Series A Preferred shares that are convertible on a one-to-one basis into common shares on demand of the holder. |