Amended Statement of Beneficial Ownership (3/a)
May 14 2020 - 5:57PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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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
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Blyumkin Aleksandr |
2. Date of Event Requiring Statement (MM/DD/YYYY)
7/12/2019
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3. Issuer Name and Ticker or Trading Symbol
PETROTEQ ENERGY INC. [PQE]
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(Last)
(First)
(Middle)
C/O PETROTEQ ENERGY INC., 15315 W MAGNOLIA BLVD, SUITE 120 |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
__X__ Director _____ 10% Owner ___X___ Officer (give title below) _____ Other (specify below) Executive Chairman / |
(Street)
SHERMAN OAKS, CA 91403
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY) 7/12/2019
| 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 Beneficially Owned
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1.Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 6466594 (1) | D | |
Common Stock | 4016 (2) | I | Alexander & Polina Blyumkin Trust |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 4) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
(1) | 6,617,990 common shares were inadvertently disclosed in the original filing as having been owned directly by the Reporting Person. The correct number of shares held directly as of July 12, 2019 is disclosed herein. |
(2) | 124,096 common shares were inadvertently disclosed in the original filing as having been owned indirectly by the Reporting Person through Aleksandr & Polina Blyumkin Trust. The correct number of shares so held indirectly as of July 12, 2019 is disclosed herein. |
Remarks: In addition, a total of 1,180,940 common shares were inadvertently disclosed in the original filing as having been owned indirectly by the Reporting Person through Dalex Holding, Inc. (as to 34,481 common shares), Dalex Investments, Inc. (as to 7,833 common shares), MCW Fuels, LLC (as to 306,667 common shares), Palmira Associates, Inc. (as to 749,070 common shares) and VM Solutions, Inc. (as to 82,889 common shares.) The Reporting Person overlooked the fact that he had: (a) caused Dalex Holding, Inc. and Dalex Investments, Inc. to sell all of the common shares of the Issuer held through them on September 1, 2017; (b) caused MCW Fuels, LLC to sell all of the common shares of the Issuer held though it on August 25, 2017; (c) sold his interest in Palmira Associates Inc. in 2017; and (d) never held any direct or indirect interest in VM Solutions Inc. As disclosed in the original filing, the Reporting Person also indirectly owned as of July 12, 2019 - and continues to indirectly own - 507,098 common shares of the Issuer through Express Consulting, LLC. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Blyumkin Aleksandr C/O PETROTEQ ENERGY INC. 15315 W MAGNOLIA BLVD, SUITE 120 SHERMAN OAKS, CA 91403 | X |
| Executive Chairman |
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Signatures
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/s/ ALEKSANDR BLYUMKIN | | 5/12/2020 |
**Signature of Reporting Person | Date |
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