Sec Form 4 Filing - WOMACK LEO B @ Petrolia Energy Corp - 2018-03-31

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
WOMACK LEO B
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
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
710 N. POST OAK ROAD, SUITE 400
3. Date of Earliest Transaction (MM/DD/YY)
03/31/2018
(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) 09/23/2018 M 1,000,000 ( 1 ) A $ 0.06 3,860,270 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
Warrant $ 0.1 03/31/2018 A 250,000 ( 2 ) 01/01/2019 01/01/2021 Common Stock (Restricted) 250,000 ( 2 ) $ 0.1 4,160,000 D
Warrant $ 0.1 06/30/2018 A 250,000 ( 2 ) 01/01/2019 01/01/2021 Common Stock (Restricted) 250,000 ( 2 ) $ 0.1 4,410,000 D
Warrant $ 0.1 08/22/2018 A 60,000 ( 3 ) 08/22/2018 08/22/2019 Common Stock (Restricted) 60,000 ( 3 ) $ 0.1 4,170,000 D
Warrant $ 0.06 09/23/2018 M 1,000,000 ( 1 ) 06/06/2017 06/06/2020 Common Stock (Restricted) 1,000,000 ( 1 ) $ 0.06 3,170,000 D
Warrant $ 0.1 09/30/2018 A 250,000 ( 2 ) 01/01/2019 01/01/2021 Common Stock (Restricted) 250,000 ( 2 ) $ 0.1 3,420,000 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
WOMACK LEO B
710 N. POST OAK ROAD, SUITE 400
HOUSTON, TX77024
X
Signatures
/s/ Leo B Womack 10/30/2018
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Mr. Womack exercised 1,000,000 warrants that were issued on Sept. 23, 2015 and were due to expire on Sept. 23, 2018 at a predetermined share price of $0.06/share.
( 2 )Mr. Womack receives a 250,000-warrant issuance quarterly as part of his compensation 2018 compensation package for his service on the Board; exercisable for a 24 months period as of January 1, 2019.
( 3 )Mr. Womack was issued 60,000 warrants at $0.10 per share for participating in a board approved short-term loan.

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* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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