0001213900-16-014446.txt : 20160623
0001213900-16-014446.hdr.sgml : 20160623
20160623142953
ACCESSION NUMBER: 0001213900-16-014446
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160621
FILED AS OF DATE: 20160623
DATE AS OF CHANGE: 20160623
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: BioSolar Inc
CENTRAL INDEX KEY: 0001371128
STANDARD INDUSTRIAL CLASSIFICATION: UNSUPPORTED PLASTICS FILM & SHEET [3081]
IRS NUMBER: 000000000
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 27936 Lost Canyon Road
STREET 2: Suite 202
CITY: Santa Clarita
STATE: CA
ZIP: 91387
BUSINESS PHONE: 6612510001
MAIL ADDRESS:
STREET 1: 27936 Lost Canyon Road
STREET 2: Suite 202
CITY: Santa Clarita
STATE: CA
ZIP: 91387
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LEE DAVID DONGHIE
CENTRAL INDEX KEY: 0001390620
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-54819
FILM NUMBER: 161728384
MAIL ADDRESS:
STREET 1: BIOSOLAR INC
STREET 2: 27936 LOST CANYON ROAD SUITE 202
CITY: SANTA CLARITA
STATE: CA
ZIP: 91387
4
1
f4062116lee_biosolarinc.xml
OWNERSHIP DOCUMENT
X0306
4
2016-06-21
0
0001371128
BioSolar Inc
BSRC
0001390620
LEE DAVID DONGHIE
27936 LOST CANYON ROAD, SUITE 202
SANTA CLARITA
CA
91387
1
1
1
0
CEO, Acting CFO
Common Stock
2016-06-21
4
J
0
330558
A
3453055
D
Convertible Note
2016-06-21
4
J
0
330558
D
2013-06-05
2017-06-05
Common Stock
330558
0
D
Common Stock was issued to Reporting person upon the conversion of $33,000 principal and $5,014.17 interest of a convertible promissory note granted to the Reporting Person by the Issuer pursuant to a Convertible Note Agreement dated June 5, 2013 which was issued directly to Reporting Person by the Issuer in satisfaction of unpaid salary. The balance of the Promissory Note was convertible into shares of the Issuer's common stock at a conversion price equal to the lesser of (i) $0.24 per share, or (ii) the closing prices of the Issuer's common stock on the last complete trading day immediately preceding the date of conversion. The original balance of the Promissory Note was $128,000. There is no longer a balance on this Promissory Note.
/s/ David Lee
2016-06-23