Statement of Changes in Beneficial Ownership (4)
October 05 2022 - 09:01AM
Edgar (US Regulatory)
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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 * KUKES SIMON
G |
2. Issuer Name and Ticker or Trading
Symbol PEDEVCO CORP [ PED ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)__X__
Director __X__
10% Owner
__X__ Officer (give title
below) _____ Other
(specify below)
Chief Executive Officer |
|
(Last)
(First)
(Middle)
575 N. DAIRY ASHFORD, ENERGY CENTER II, SUITE 210 |
3. Date of Earliest Transaction (MM/DD/YYYY)
10/3/2022
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|
(Street)
HOUSTON, TX 77079
(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) ___
Form filed by One Reporting Person
_ X _ 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) |
|
Code |
V |
Amount |
(A) or (D) |
Price |
|
Common Stock |
10/3/2022 |
|
G |
V |
51791325 (1) |
D |
$0 |
0 |
I |
Through SK Energy LLC |
|
Common Stock |
10/3/2022 |
|
G |
V |
51791325 (1) |
A |
$0 |
51791325 |
I |
Through The SGK 2018 Revocable
Trust |
|
Common Stock |
|
|
|
|
|
|
|
5028240 |
D |
|
|
Common Stock |
|
|
|
|
|
|
|
3000 |
I |
By Spouse |
Table II - Derivative Securities 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 |
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 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) |
|
Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
| Explanation of
Responses: |
| (1) |
On October 3, 2022, SK
Energy LLC ("SK Energy") transferred all 51,791,325 shares of
common stock of the Issuer which it held to The SGK 2018 Revocable
Trust ("SGK Trust") for no consideration. SK Energy is beneficially
owned by Dr. Simon G. Kukes and SGK Trust is a family trust of
which Dr. Simon G. Kukes is the trustee and beneficiary, and as
such, the beneficial owner of the shares held by SGK Trust, and
there was no change in beneficial ownership of the transferred
shares in connection with the transfer. |
Remarks:
See the Powers of Attorney filed as Exhibits 24.1 and 24.2, to the
Form 4 filed by the Reporting Persons on June 19, 2019 and the
Power of Attorney filed as Exhibit 24.3 hereto. |
Reporting
Owners
|
|
Reporting Owner Name / Address |
Relationships
|
|
Director |
10% Owner |
Officer |
Other |
KUKES SIMON G
575 N. DAIRY ASHFORD
ENERGY CENTER II, SUITE 210
HOUSTON, TX 77079 |
X |
X |
Chief Executive Officer |
|
SK Energy LLC
575 N. DAIRY ASHFORD
ENERGY CENTER II, SUITE 210
HOUSTON, TX 77079 |
|
X |
|
|
SGK 2018 REVOCABLE TRUST
575 N. DAIRY ASHFORD
ENERGY CENTER II, SUITE 210
HOUSTON, TX 77079 |
|
X |
|
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Signatures
|
|
/s/ Clark R. Moore, attorney-in-fact for Simon
Kukes |
|
10/4/2022 |
| **Signature of
Reporting Person |
Date |
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/s/ Clark R. Moore, attorney-in-fact for Simon
Kukes, as Manager of SK Energy LLC |
|
10/4/2022 |
| **Signature of
Reporting Person |
Date |
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/s/ Clark R. Moore, attorney-in-fact for Simon
Kukes, as Trustee of The SGK 2018 Revocable Trust |
|
10/4/2022 |
| **Signature of
Reporting Person |
Date |
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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. |
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