FORM 5 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ANNUAL 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). | |||||||||||||||||
Form 3 Holdings Reported. | |||||||||||||||||
Form 4 Transactions Reported. |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
ZION OIL & GAS INC [ ZN ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Statement for Issuer's Fiscal Year Ended
(Month/Day/Year) 12/31/2013 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | |||||||||||||||
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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 at end of Issuer's Fiscal Year (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||||||
Amount | (A) or (D) | Price | |||||||||||||
Common Stock, Par Value $0.01 | 375,000 | D | |||||||||||||
Common Stock, Par Value $0.01 | 30,000 | I | Held Jointly with Spouse | ||||||||||||
Common Stock, Par Value $0.01 | 100,000 | I | By Spouse |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | ||||||||||||||
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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) | |||
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
Common Stock Option | $0.01 | 12/31/2012 | 01/31/2020 | Common Stock, Par Value $0.01 | 30,000(1) | 30,000 | D | |||||||
Common Stock Option | $2.5 | 01/01/2012 | 12/31/2014 | Common Stock, Par Value $0.01 | 30,000(2) | 30,000 | D | |||||||
Common Stock Option | $2.61 | 09/30/2013 | 12/04/2017 | Common Stock, Par Value $0.01 | 300,000(3) | 300,000 | D | |||||||
Common Stock Option | $0.01 | 12/31/2013 | 01/31/2020 | Common Stock, Par Value $0.01 | 40,000(4) | 40,000 | D |
Explanation of Responses: |
1. Options for 5,000 shares shall vest as of the end of each 90 day period, commencing March 31, 2010. The vested options shall be exercisable until January 31, 2020 for an exercise price of $0.01. |
2. The options, issued under the 2005 Stock Option Plan, were vested in full upon grant and are exercisable commencing January 1, 2012 through December 31, 2014. |
3. The Award shall vest in eight equal installments of 37,500 on a calendar quarter basis over a two year period at the end of each quarter (on the last trading day of such quarter), beginning with the quarter ending December 31, 2011. Awards expire December 4, 2017, unless terminated earlier under provisions of Sections 11 of the Plan. |
4. March 30, 2012 Option Agreement Grants 20,000 Options under the 2011 Equity Incentive Plan. 5,000 Options shall vest as of the end of each 90 day period, commencing March 31, 2012. The vested options shall be exercisable until January 31, 2020 for an exercise price of $0.01. |
Brittany Martin AIF for John Brown | 02/14/2014 | |
** 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. | ||
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 Number. |