Sec Form 4 Filing - DIBELLA JOHN @ ENVIRO TECHNOLOGIES U.S., INC. - 2022-12-29

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
DIBELLA JOHN
2. Issuer Name and Ticker or Trading Symbol
ENVIRO TECHNOLOGIES U.S., INC. [ EVTN]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
CEO of Subsidiary
(Last) (First) (Middle)
821 NW 57 PLACE
3. Date of Earliest Transaction (MM/DD/YY)
12/29/2022
(Street)
FT. LAUDERDALE, FL33309
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 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 12/29/2022 C 1,000,000 A $ 0.06 2,626,462( 1 ) 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 (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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 of Derivative Security: 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
6% Unsecured Convertible Promissory Note $ 0.06 12/29/2022 C ( 2 ) ( 2 ) Common Stock 1,000,000 $ 755,565 755,565( 2 ) D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
DIBELLA JOHN
821 NW 57 PLACE
FT. LAUDERDALE, FL33309
CEO of Subsidiary
Signatures
/s/ John A. DiBella 12/29/2022
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Includes 15,000 shares of common stock held as custodian for the benefit of the Reporting Person's children.
( 2 )Effective September 6, 2022 Enviro Technologies U.S., Inc. (the "Company") completed a Share Exchange Agreement (the "Agreement") with Banner Midstream Corp., a Delaware corporation and Ecoark Holdings, Inc., a Nevada corporation and the sole shareholder of Banner Midstream Corp. Pursuant to the Agreement, on August 23, 2022 the Company issued the Reporting Person a 6% convertible promissory note in the initial principal amount of $815,565, convertible at the option of the Reporting Person at $0.06 per share, with a maturity date of 12 months from the closing of the Agreement in satisfaction all of the Reporting Person's accrued payroll to the Company.

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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