Statement of Changes in Beneficial Ownership (4)
August 26 2013 - 05:38PM
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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OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
YOUYOU MALIK
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2. Issuer Name
and
Ticker or Trading Symbol
DEEP WELL OIL & GAS INC
[
DWOG
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
__
X
__ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Last)
(First)
(Middle)
SADOVNICHESKEYA NAB 69
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3. Date of Earliest Transaction
(MM/DD/YYYY)
3/2/2009
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(Street)
MOSCOW, 1Z 115035
(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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3/2/2009
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P
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30000
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A
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$0.15
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110763823
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I
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See foonote
(1)
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Common Stock
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3/6/2009
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P
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273020
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A
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$0.15
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111036843
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I
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See foonote
(1)
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Common Stock
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3/6/2009
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P
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126980
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A
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$0.15
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111163823
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I
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See foonote
(1)
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Common Stock
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3/9/2009
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P
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306018
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A
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$0.15
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111469841
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I
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See foonote
(1)
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Common Stock
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3/10/2009
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P
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67002
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A
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$0.15
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111536843
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I
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See foonote
(1)
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Common Stock
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3/10/2009
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P
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36598
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A
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$0.15
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111573441
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I
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See foonote
(1)
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Common Stock
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3/11/2009
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P
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1793
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A
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$0.15
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111575234
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I
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See foonote
(1)
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Common Stock
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3/12/2009
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P
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20000
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A
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$0.15
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111595234
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I
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See foonote
(1)
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Common Stock
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3/17/2009
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P
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73710
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A
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$0.15
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111668944
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I
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See foonote
(1)
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Common Stock
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3/18/2009
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P
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23000
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A
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$0.15
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111691944
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I
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See foonote
(1)
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Common Stock
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3/20/2009
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P
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25000
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A
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$0.15
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111716944
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I
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See foonote
(1)
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Common Stock
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3/26/2009
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P
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57000
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A
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$0.16
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111773944
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I
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See foonote
(1)
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Common Stock
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3/27/2009
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P
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20000
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A
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$0.16
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111793944
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I
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See foonote
(1)
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Common Stock
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3/30/2009
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P
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4500
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A
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$0.16
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111798444
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I
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See foonote
(1)
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Common Stock
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8/15/2013
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M
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150000
(4)
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A
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$0.05
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111948444
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D
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Common Stock
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8/15/2013
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M
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450000
(5)
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A
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$0.14
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112398444
(2)
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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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Stock Option (right to acquire)
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$0.05
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6/20/2013
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A
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450000
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(3)
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6/20/2018
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Common Stock
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450000
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$0
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72028570
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D
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Stock Option (right to acquire)
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$0.05
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8/15/2013
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M
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150000
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(4)
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6/20/2018
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Common Stock
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150000
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$0
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71878570
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D
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Stock Option (right to acquire)
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$0.14
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8/15/2013
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M
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450000
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(5)
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3/23/2016
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Common Stock
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450000
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$0
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71428570
(2)
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D
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Explanation of Responses:
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(
1)
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Westline Enterprises Limited, a company 100% owned by Malik Youyou.
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(
2)
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As of August 15, 2013, Mr. Malik Youyou beneficially owns 183,827,014 shares of our common stock, of which 105,175,042 are held directly by Mr. Youyou and 7,223,402 are held by Westline Enterprises Limited, a corporation 100% owned by Mr. Youyou. Mr. Youyou also holds presently exercisable warrants to acquire 71,428,570 shares of our common stock and another 300,000 stock options that are not yet vested, see footnote (3) below. Assuming the issuance of 71,428,570 shares of our common stock, pursuant to the exercise of Mr. Youyou's presently exercisable warrants, Mr. Youyou would beneficially own 71.91% of our Company's outstanding common stock. To date Mr. Youyou has not exercised any of his warrants and without the exercise of Mr. Youyou's warrants, Mr. Youyou has a 61.01% ownership of our issued and outstanding common stock. As August 15, 2013, Mr. Youyou has exercised 600,000 options, see footnote (3) and (4) below.
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(
3)
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Effective on June 20, 2013, Mr. Malik Youyou was granted options to purchase 450,000 shares each of common stock at an exercise price of $0.05 per common share, 150,000 vesting immediately and the remaining vesting one-third on June 20, 2014, and one-third on June 20, 2015, with a five-year life.
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(
4)
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August 12, 2013, Mr. Youyou exercised 150,000 stock options that were granted to him on June 20, 2013.
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(
5)
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On March 23, 2011, Mr. Youyou was granted options to purchase up to 450,000 shares of common stock at an exercise price of $0.14, all of which have since vested and are fully exercisable. On August 15, 2013, Mr. Youyou exercised 450,000 stock options.
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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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YOUYOU MALIK
SADOVNICHESKEYA NAB 69
MOSCOW, 1Z 115035
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X
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X
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Signatures
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/s/ Malik Youyou
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8/26/2013
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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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