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*
O'HEERON PETE

(Last) (First) (Middle)
C/O LIBERTY STAR URANIUM & METALS CORP.
2 EAST CONGRESS ST. SUITE 900

(Street)
TUCSON, AZ 85701

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
LIBERTY STAR URANIUM & METALS CORP. [ LBSR ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
09/05/2013
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 08/12/2014 P(1) 677,507 A $0.0148(1) 2,451,619 D
Common Stock 10/13/2017 P 226,619 A $0.0018 3,129,126 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
Stock Option (right to buy) $0.0257 09/05/2013 A 7,000,000 09/05/2013 09/05/2023 Common Stock 7,000,000 $0 7,000,000 D
Warrant $0.0207 08/12/2014 P(1) 677,507 08/12/2014 08/12/2017 Common Stock 677,507 $0(1) 677,507 D
Warrant $0.0207 07/11/2017 J(2) 677,507 08/12/2014 08/12/2017 Common Stock 677,507 $0 0 D
Warrant $0.0207 07/11/2017 J(2) 677,507 07/11/2017 07/11/2020 Common Stock 677,507 $0 677,507 D
Explanation of Responses:
1. On August 12, 2014, the reporting person purchased 677,507 issuer units at a purchase price of $0.0148 per unit. Each unit was comprised of one share of the issuer's common stock and a warrant to purchase one share of the issuer's common stock. Accordingly, through the reporting person's purchase of 677,507 issuer units, the reporting person acquired 677,507 shares of the issuer's common stock and a warrant to purchase 677,507 shares of the issuer's common stock.
2. On July 11, 2017, the reporting person and the issuer agreed to extend the expiration date of the warrant to purchase 677,507 shares of the issuer's common stock acquired on August 12, 2014. No other terms of the warrant were modified.
/s/ Pete O' Heeron 07/31/2019
** 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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