Sec Form 4 Filing - White Keith R @ Ambient Water Corp - 2015-06-04

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
White Keith R
2. Issuer Name and Ticker or Trading Symbol
Ambient Water Corp [ AWGI]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director X __ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
CEO and Director
(Last) (First) (Middle)
7721 E TRENT
3. Date of Earliest Transaction (MM/DD/YY)
06/04/2015
(Street)
SPOKANE, WA99212
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 14,941,438 D
Common stock 12,788,712 I ( 1 ) Shares held by holding company.
Common stock 06/04/2015 S 50,000 D $ 0.0435 12,738,712 I ( 1 ) Shares held by holding company.
Common stock 06/04/2015 S 50,000 D $ 0.041 12,688,712 I ( 1 ) Shares held by holding company.
Common stock 06/04/2015 S 45,000 D $ 0.0434 12,643,712 I ( 1 ) Shares held by holding company.
Common stock 06/04/2015 S 50,000 D $ 0.0531 12,593,712 I ( 1 ) Shares held by holding company.
Common stock 06/04/2015 S 50,000 D $ 0.0437 12,543,712 I ( 1 ) Shares held by holding company.
Common stock 06/04/2015 S 25,000 D $ 0.048 12,518,712 I ( 1 ) Shares held by holding company.
Common stock 06/04/2015 S 50,000 D $ 0.051 12,468,712 I ( 1 ) Shares held by holding company.
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
Common stock options $ 0.11 ( 2 ) 07/22/2023 Common stock 750,000 750,000 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
White Keith R
7721 E TRENT
SPOKANE, WA99212
X X CEO and Director
Signatures
/s/ Keith R. White 10/23/2015
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Common stock registered to 0967761 BC, Ltd. Keith White has voting and dispositive control over the 0967761 BC, Ltd. shares.
( 2 )On July 22, 2013, the board of directors authorized the issuance of 750,000 common stock options to Keith White, the Company's Chief Executive Officer and Chief Technology Officer. These common stock options have an exercise price of $0.11 per share. On July 22, 2014, twenty-five percent (25%) of the options vested. Thereafter, the options vest at six and a quarter percent (6.25%) each quarter or 46,875 option shares quarterly. Vesting quarters are October 22, January 22, April 22 and July 22. The common stock options have a ten (10) year exercise term. At April 10, 2014, a total of 234,375 options shares had vested.

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