Sec Form 4 Filing - Khan Zel C @ Petrolia Energy Corp - 2016-09-30

Every director, officer or owner of more than ten percent of a class of equity securities registered under Section 12 of the '34 Act must file with the U.S. Securities and Exchange Commission (SEC) a statement of ownership regarding such security.

Form 4: Statement of changes in beneficial ownership, filed before the end of the 2nd business day following the day on which a transaction resulting in a change in beneficial ownership.

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The following is an SEC EDGAR document rendered as filed.
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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 *
Khan Zel C
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
(Last)
(First)
(Middle)
7941 KATY FWY, STE 522
3. Date of Earliest Transaction (MM/DD/YY)
09/30/2016
(Street)
HOUSTON, TX77024
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 (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 (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
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
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Khan Zel C
7941 KATY FWY
STE 522
HOUSTON, TX77024
X CEO
Signatures
/s/ Zel C Khan 02/14/2018
** Signature of Reporting Person Date
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.

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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