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Ownership Document
|
| Schema Version: X0306 |
| Document Type: 4 |
| Period of Report: 8/10/22 |
| Not Subject to Section 16: 0 |
| Issuer: |
| Issuer CIK: 1103795 |
| Issuer Name: QS Energy, Inc. |
| Issuer Trading Symbol: QSEP |
| Reporting Owner: |
| Reporting Owner ID: |
| | Owner CIK: 1702927 |
| | Owner Name: Bunting Eric |
| Reporting Owner Address: |
| | Owner Street 1: 3606 CHALLENGER WAY |
| | Owner Street 2: UNIT #1 |
| | Owner City: CARSON CITY |
| | Owner State: NV |
| | Owner ZIP Code: 89706 |
| | Owner State Description: |
| Reporting Owner Relationship: |
| | Is Director? Yes |
| | Is Officer? No |
| | Is Ten Percent Owner? No |
| | Is Other? No |
| | Officer Title: |
| | Other Text: |
| Derivative Table: |
| Derivative Transaction: |
| | Security Title: |
| | | Value: Option |
| | Conversion or Exercise Price: |
| | | Value: 0.08 |
| | Transaction Date: |
| | | Value: 8/10/22 |
| | Deemed Execution Date: |
| | | Value: 8/10/22 |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: A |
| | | Equity Swap Involved? No |
| | Transaction Timeliness: |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 250,000 |
| | | Transaction Price Per Share: |
| Value: 0.08 |
| | | Transaction Acquired-Disposed Code: |
| Value: D |
| | Exercise Date: |
| | | Footnote ID: F1 |
| | Expiration Date: |
| | | Value: 1/1/29 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Common Stock |
| | | Underlying Security Shares: |
| Value: 250,000 |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 8,858,438 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Footnotes: |
| Footnote - F1: Reporting Person is exercising stock options granted on 1/1/19. These stock options were granted to Reporting Person as equity compensation under Issuer's Board Compensation Policy, approved by the Board on 6/19/15. The options fully vested on 12/31/19. |
| Owner Signature: |
| Signature Name: /s/ Eric Bunting |
| Signature Date: 8/10/22 |
