FORM 5
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).☐ Form 3 Holdings Reported ☐ Form 4 Transactions Reported |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 |
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1. Name and Address of Reporting Person * Scammahorn Gene | 2. Issuer Name and Ticker or Trading SymbolZION OIL & GAS INC [ZN] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner _____ Officer (give title below) _____ Other (specify below) |
3. Statement for Issuer's Fiscal Year Ended (MM/DD/YYYY) | ||
4. 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 Acquired, Disposed of, or Beneficially Owned | ||||||||||
1.Title of Security (Instr. 3) | 2. Trans. Date | 2A. Deemed Execution Date, if any | 3. Trans. Code (Instr. 8) | 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Amount | (A) or (D) | Price | ||||||||
Common Stock | 1/26/2018 | P | 22.367 | A | $2.24 | 1,614.71 | D | |||
Common Stock | 2/26/2018 | P | 10.858 | A | $4.61 | 1,625.57 | D | |||
Common Stock | 3/26/2018 | P | 9.523 | A | $5.25 | 1,635.09 | D | |||
Common Stock | 4/26/2018 | P | 12.077 | A | $4.14 | 1,647.17 | D | |||
Common Stock | 5/29/2018 | P | 13.966 | A | $3.58 | 1,661.13 | D | |||
Common Stock | 6/26/2018 | P | 12.422 | A | $4.03 | 1,673.55 | D | |||
Common Stock | 7/26/2018 | P | 14.942 | A | $3.35 | 1,688.5 | D | |||
Common Stock | 8/27/2018 | P | 31.546 | A | $1.59 | 1,720.04 | D | |||
Common Stock | 9/26/2018 | P | 55.941 | A | $0.89 | 1,755.98 | D | |||
Common Stock | 10/26/2018 | P | 42.553 | A | $1.18 | 1,818.54 | D | |||
Common Stock | 11/26/2018 | P | 106.428 | A | $0.47 | 1,924.96 | D | |||
Common Stock | 12/26/2018 | P | 117.233 | A | $0.43 | 2,042.2 | D |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. 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 (MM/DD/YYYY) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of Derivative Securities Beneficially Owned at End of Issuer's Fiscal Year (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
Reporting Owners | |||||
Reporting Owner Name / Address | |||||
Director | 10% Owner | Officer | Other | ||
Scammahorn Gene 3504 LAKEBLUFF WAY PLANO, TX 75093 | X |
Signatures | ||
Tim Hill | 2/12/2018 | |
**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 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). |
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. |