0001571049-15-009983.txt : 20151215
0001571049-15-009983.hdr.sgml : 20151215
20151215150134
ACCESSION NUMBER: 0001571049-15-009983
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151211
FILED AS OF DATE: 20151215
DATE AS OF CHANGE: 20151215
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Blue Earth, Inc.
CENTRAL INDEX KEY: 0001422109
STANDARD INDUSTRIAL CLASSIFICATION: ELECTRIC SERVICES [4911]
IRS NUMBER: 980531496
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2298 HORIZON RIDGE PARKWAY
STREET 2: SUITE 205
CITY: HENDERSON
STATE: NV
ZIP: 89502
BUSINESS PHONE: 702-263-1808
MAIL ADDRESS:
STREET 1: 2298 HORIZON RIDGE PARKWAY
STREET 2: SUITE 205
CITY: HENDERSON
STATE: NV
ZIP: 89502
FORMER COMPANY:
FORMER CONFORMED NAME: Genesis Fluid Solutions Holdings, Inc.
DATE OF NAME CHANGE: 20091106
FORMER COMPANY:
FORMER CONFORMED NAME: CHERRY TANKERS INC.
DATE OF NAME CHANGE: 20081113
FORMER COMPANY:
FORMER CONFORMED NAME: CHERRY TANKERS, INC.
DATE OF NAME CHANGE: 20081112
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Jackson Richard Lee
CENTRAL INDEX KEY: 0001572666
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36607
FILM NUMBER: 151288268
MAIL ADDRESS:
STREET 1: 2655 NORTHWINDS PARKWAY
CITY: ALPHARETTA
STATE: GA
ZIP: 30009
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Jackson Investment Group, LLC
CENTRAL INDEX KEY: 0001571267
STATE OF INCORPORATION: GA
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36607
FILM NUMBER: 151288269
BUSINESS ADDRESS:
STREET 1: 2655 NORTHWINDS PARKWAY
CITY: ALPHARETTA
STATE: GA
ZIP: 30009
BUSINESS PHONE: 770-643-5529
MAIL ADDRESS:
STREET 1: 2655 NORTHWINDS PARKWAY
CITY: ALPHARETTA
STATE: GA
ZIP: 30009
4
1
jacksonblue1211.xml
FORM 4
X0306
4
2015-12-11
0
0001422109
Blue Earth, Inc.
BBLU
0001571267
Jackson Investment Group, LLC
2655 NORTHWINDS PARKWAY
ALPHARETTA,
GA
30009
0
0
1
0
0001572666
Jackson Richard Lee
2655 NORTHWINDS PARKWAY
ALPHARETTA,
GA
30009
0
0
1
0
Common Stock
2015-12-11
4
J
0
704842
.50
A
13995618
D
5 Year Warrant (right to buy)
.50
2015-12-11
4
J
0
2861856
0.00
A
2015-12-11
2020-12-11
Common Stock
2861856
2861856
D
Blue Earth, Inc. ("Blue Earth") issued 704,842 shares of common stock (valued at $0.50 per share) to Jackson Investment Group, LLC, partially in payment of a portion of principal and interest owed under a promissory note and partially in payment of costs owed in connection with financings.
Exercise price and the number of shares underlying the warrant are subject to adjustment for structural anti-dilution, such as for stock splits, dividends and combinations. The warrant was issued in consideration of a bridge loan to Blue Earth from Jackson Investment Group, LLC.
Richard L. Jackson, the sole manager and controlling owner of Jackson Investment Group, LLC, may be deemed the indirect beneficial owner, but he disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein.
/s/ Jackson Investment Group, LLC By: Richard L. Jackson, Manager and CEO
2015-12-15
/s/ Richard L. Jackson
2015-12-15