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Bolen Douglas Nelson – ‘SC 13D/A’ on 5/17/13 re: Delta Oil & Gas Inc

On:  Friday, 5/17/13, at 5:04pm ET   ·   Accession #:  1117768-13-294   ·   File #:  5-84801

Previous ‘SC 13D’:  ‘SC 13D/A’ on 2/8/13   ·   Latest ‘SC 13D’:  This Filing

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  As Of                Filer                Filing    For·On·As Docs:Size              Issuer               Agent

 5/17/13  Bolen Douglas Nelson              SC 13D/A               1:47K  Delta Oil & Gas Inc               123EDGARDIRECT Inc/FA

Amendment to General Statement of Beneficial Ownership   —   Schedule 13D
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: SC 13D/A    Amendment to General Statement of Beneficial        HTML     29K 
                          Ownership -- mainbody                                  


This is an HTML Document rendered as filed.  [ Alternative Formats ]



UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

SCHEDULE 13D/A
Under the Securities Exchange Act of 1934
 
(Amendment No. 4)
 


Delta Oil & Gas, Inc.

(Name of Issuer)



Common Stock, par value $0.001 per share

(Title of Class of Securities)



24778R308

(CUSIP Number)


 
Douglas N. Bolen
Suite 604-700 West Pender Street
Vancouver, British Columbia, Canada V6C 1G8
(866) 355-3644

(Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications)


May 14, 2013

(Date of Event which Requires Filing of this Statement)



If the filing person has previously filed a statement on Schedule 13G to report the acquisition that is the subject of this Schedule 13D, and is filing this schedule because of §§240.13d-1(e), 240.13d-1(f) or 240.13d-1(g), check the following box.  o
 
 

 

 
 

 

CUSIP No. 24778R308 
 



1.             Names of Reporting Persons.
I.R.S. Identification Nos. of above persons (entities only).

Douglas N. Bolen


2.            Check the Appropriate Box if a Member of a Group (See Instructions)
 
(a)        o
(b)        o
 

3.             SEC Use Only
 
 

4.             Source of Funds (See Instructions)
 
                PF — personal funds
 

5.            Check if Disclosure of Legal Proceedings Is Required Pursuant to Items 2(d) or 2(e)    o


6.            Citizenship or Place of Organization
 
               United States of America
 

 
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH
 
 
 
 
 
 
   
7.  
Sole Voting Power
 
1,986,000 (See Item 5)
   
8.
Shared Voting Power
 
0
   
9.
Sole Dispositive Power
 
1,986,000 (See Item 5)
   
10.
Sole Dispositive Power
 
0
 
11.           Aggregate Amount Beneficially Owned by Each Reporting Person

1,986,000 (See Item 5)
 

12.           Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions)     o
 
 
 
 
 
- 2 -

 
 
 
 
 
 

13.           Percent of Class Represented by Amount in Row (11)

12.7%
 

14.           Type of Reporting Person (See Instructions)

IN
 


Explanatory Note:  This Amendment No. 4 (this “Amendment”) amends and supplements the statement on Schedule 13D originally filed by Douglas N. Bolen with the Securities and Exchange Commission on May 27, 2010, as amended on January 25, 2011, March 23, 2012 and February 8, 2013 (as hereby supplemented, the “Schedule”).  Unless otherwise indicated, each capitalized term used but not defined herein shall have the meaning assigned to such term in the Schedule.
 
Item 1.   Security and Issuer
 
No material change.
 
Item 2.   Identity and Background
 
No material change.
 
Item 3.   Source and Amount of Funds or Other Consideration
 
No material change.

Item 4.   Purpose of Transaction.
 
Item 4 is hereby amended to include the following:
 
This Amendment is being filed to update the beneficial ownership of the Reporting Person to reflect the acquisition of options to purchase 100,000 shares of common stock in consideration for services rendered as an officer and director of the Issuer.  See Item 5(c) below.

The information supplied in this Amendment is provided as of May 17, 2013.


 
 
 
 
- 3 -

 

 
 
 
Item 5.   Interest in Securities of the Issuer
 
Item 5 is hereby amended and restated as follows:
 
 
(a)
1,986,000 shares.  Includes options to purchase 600,000 shares of Common Stock exercisable currently or within 60 days.

The foregoing 1,986,000 shares of Common Stock represent approximately 12.7% of the Issuer’s outstanding Common Stock (based upon 15,093,241 shares of Common Stock outstanding and options to purchase 600,000 additional shares of Common Stock which are exercisable within the next 60 days).

 
(b)
The Reporting Person has the sole power to vote or to direct the vote or to dispose or direct the disposition of 1,386,000 shares of Common Stock and another 600,000 additional shares of Common Stock if the Reporting Person exercised his vested options and options vesting within the next 60 days.

 
(c)
The Reporting Person acquired on May 14, 2013 options to purchase 100,000 shares of Common Stock at an exercise price of $0.05 per share in consideration for services rendered as an officer and director of the Issuer, of which all options vested immediately. Except for the foregoing acquisitions, the Reporting Person has not effected any transaction in the Common Stock in the past 60 days.
 
(d)           Not applicable.

(e)           Not applicable.

Item 6.   Contracts, Arrangements, Understandings or Relationships with Respect to  Securities of the Issuer
 
No material change.
 
Item 7.   Material to Be Filed as Exhibits
 
No material change.
 
 
 
 
 
 

 
- 4 -

 
 
 

 
 
 
SIGNATURE
 
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
 

May 17, 2013

Date
 

/s/ Douglas N. Bolen

     Douglas N. Bolen
     Signature

 
 
 
 
 
 

 

 
- 5 -

 


Dates Referenced Herein   and   Documents Incorporated by Reference

This ‘SC 13D/A’ Filing    Date    Other Filings
Filed on:5/17/13SC 13D/A
5/14/1310-Q,  4
2/8/134,  SC 13D/A
3/23/124,  SC 13D/A
1/25/11SC 13D/A
5/27/10SC 13D
 List all Filings 
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Filing Submission 0001117768-13-000294   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

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