SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
MOONEY EDWARD P

(Last) (First) (Middle)
245 SIR FRANCIS DRAKE BOULEVARD

(Street)
SAN ANSELMO CA 94960

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
COLOMBIA ENERGY RESOURCES, INC. [ CERX ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
07/01/2012
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
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. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction 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 11,900,079(1) I LLC(1)
Common Stock 417,482(2) I Trust(2)
Common Stock 07/01/2012 A 10,792 A $4,000 10,792 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction 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 (Month/Day/Year) 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: 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
Options $2.5 (3) 12/25/2015 Common Stock 50,000(3) 50,000 D
Options $5 (3) 12/25/2015 Common Stock 50,000(3) 100,000 D
Series A Preferred Stock (4) (4) (4) Common Stock 40,000(5) 8,000 I LLC(1)
Warrants $0.01 12/21/2010 05/31/2016 Common Stock 32,000 32,000 I LLC(1)
Warrants $0.01 06/02/2011 05/31/2016 Common Stock 2,800(5) 34,800 I LLC(1)
Restricted Stock Units $0 (6) (6) Common Stock 35,700 135,700 D
Restricted Stock Units $0 (7) (7) Common Stock 83,333 219,033 D
Explanation of Responses:
1. Represents securities owned by LIFE Power & Fuels, LLC, a Delaware limited liability ("LIFE"). The Reporting Person is the Managing Member of LIFE, but disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein.
2. Represents common stock held by Edward P. and Teresa M. Mooney Revocable Living Trust.
3. Vesting: 3 years, 25% immediate and 25% on each anniversary for 3 years.
4. Each share of Series A Preferred Stock is convertible into five shares of common stock, and is convertible at any time without expiration.
5. The Reporting Person received (i) 8,000 shares of Series A convertible preferred stock at a deemed purchase price of $10.00 per share, and (ii) warrants to purchase 2,800 shares of Common Stock at an exercise price of $0.01 per share, in consideration for the cancellation by the Issuer of a convertible promissory note issued to the Reporting Person in the principal amount of $80,000 due June 30, 2012.
6. The restricted stock units ("RSUs") vested on May 8, 2012 and will expire at the end of the director's term. If the diretor resigns for cause or is removed for cause before the end of his term, the RSUs would lapse. However, if the director resigns for health or other appropriate reasons, his RSUs would vest immediately. The director is not permitted to sell the vested shares until he is no longer a director.
7. The restricted stock units ("RSUs") will vest on the date of the 2013 annual meeting of stockholders and will expire at the end of the director's term. If the diretor resigns for cause or is removed for cause before the end of his term, the RSUs would lapse. However, if the director resigns for health or other appropriate reasons, his RSUs would vest immediately. The director is not permitted to sell the vested shares until he is no longer a director.
/s/ Edward P. Mooney 07/03/2012
** Signature of Reporting Person Date
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.
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