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*
Khan Zel C

(Last) (First) (Middle)
7941 KATY FWY
STE 522

(Street)
HOUSTON TX 77024

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Petrolia Energy Corp [ BBLS ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
CEO
3. Date of Earliest Transaction (Month/Day/Year)
09/30/2016
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 (Restricted) 12/31/2016 J 14,443,936(1) A $0.18 26,930,741 I Jovian Petroleum Corporation
Common Stock (Restricted) 12/31/2016 J 66,395(2) A $0.18 26,997,136 I Jovian Petroleum Corporation
Common Stock (Restricted) 05/30/2017 J 7,192,026(3) A $0.21 34,189,162 I Jovian Petroleum Corporation
Common Stock (Restricted) 06/05/2017 A 40,000(4) A $0.08 34,229,162 I Jovian Petroleum Corporation
Common Stock (Restricted) 07/21/2017 J 8,737,891(5) A $0.14 42,967,053 I Jovian Petroleum Corporation
Preferred Stock (Series A) 07/24/2017 A 21,510(6) A $10 21,510 I Jovian Petroleum Corporation
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
Warrant $0.2 09/30/2016 P 40,000(4) 09/30/2016 09/30/2019 Common Stock 40,000 (4) 1,070,000 D
Warrant $0.14 12/30/2016 P 40,000(4) 03/31/2016 03/31/2019 Common Stock 40,000 (4) 1,110,000 D
Warrants $0.2 05/23/2017 P 6,000,000(5) 05/23/2017 05/23/2020 Common Stock 6,000,000 (5) 7,110,000 I Jovian Petroleum Corporation
Warrants $0.35 05/23/2017 P 4,000,000(5) 02/01/2016 02/01/2019 Common Stock 4,000,000 (5) 11,110,000 I Jovian Petroleum Corporation
Explanation of Responses:
1. The 14,443,936 common shares were issued is in relation to the Share Exchange agreement were Petrolia acquired a 40% net WI from Jovian in the SUDS Field. Petrolia already owned 10% WI. Mr. Khan is the indirect beneficial owner of Jovian Petroleum Corporation; do to his majority stake in that company.
2. This transaction of 66,395 common shares are post-closing adjustments the final distribution of shares in the acquisition of the 40% WI mentioned in the above note.
3. This transaction is part of a debt/equity swap of which Jovian agreed to convert the outstanding $2 million note into equity in BBLS.
4. Mr. Khan was issued Shares and Warrants as part of the deferred salary compensation he has received.
5. This share and warrant transaction was for the conversion of debt associated to the Notes held against Petrolia, by Jovian, for the production payment debt.
6. Jovian Petroleum Corporation participated in the Series A, Preferred Stock offering was used as part of the settlement of the $2 million Promissory note conversion.
/s/ Zel C Khan 02/14/2018
** 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).
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