Sec Form 4 Filing - Wheeler Ronald Scott @ EVO Transportation & Energy Services, Inc. - 2019-02-07

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
Wheeler Ronald Scott
2. Issuer Name and Ticker or Trading Symbol
EVO Transportation & Energy Services, Inc. [ EVOA]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Chief Administrative Officer
(Last) (First) (Middle)
2075 WEST PINNACLE PEAK ROAD, SUITE 130
3. Date of Earliest Transaction (MM/DD/YY)
02/07/2019
(Street)
PHOENIX, AZ85027
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 02/07/2019 A 10,000 ( 1 ) A $ 0 10,000 D
Common Stock 02/27/2020 P 60,000 A $ 2.5 70,000 D
Common Stock 03/24/2020 J 60,000 ( 2 ) D $ 2.5 10,000 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
Stock Option (right to buy) $ 2.5 ( 3 ) 08/13/2028 Common Stock 100,000 100,000 D
Stock Option (right to buy) $ 2.5 05/07/2020 A 20,000 ( 3 ) 05/07/2030 Common Stock 20,000 $ 0 20,000 D
Common Stock Warrant (right to buy) $ 2.5 ( 3 ) 07/20/2028 Common Stock 40,000 40,000 D
Series B Preferred Stock $ 3 03/24/2020 J 50,000 ( 2 ) ( 5 ) ( 5 ) Common Stock 50,000 $ 0 50,000 D
Common Stock Warrant (right to buy) $ 1.5 02/01/2021 A 750,000 ( 3 ) 02/01/2031 Common Stock 750,000 $ 0 750,000 D
Convertible Promissory Note $ 2.5 03/30/2021 J 07/20/2019 07/31/2020 Common Stock $ 100,000 ( 4 ) $ 0 $ 0 ( 4 ) D
Common Stock Warrant (right to buy) $ 0.01 03/30/2021 J 41,703 ( 3 ) 07/20/2028 Common Stock 41,703 $ 0 41,703 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Wheeler Ronald Scott
2075 WEST PINNACLE PEAK ROAD
SUITE 130
PHOENIX, AZ85027
X Chief Administrative Officer
Signatures
/s/ R. Scott Wheeler 09/03/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Represents stock received at the election of the Reporting Person, in lieu of cash payment, as a retainer for service as a director of the Company.
( 2 )On March 24, 2020, the Company entered into a stock redemption agreement with the Reporting Person pursuant to which the Company redeemed 60,000 shares of its common stock, par value $0.0001 per share, held by Reporting Person and agreed to issue 50,000 shares of its Series B Preferred Stock, par value $0.0001 per share to Reporting Person, in exchange therefor.
( 3 )Fully exercisable.
( 4 )Note amount does not reflect accrued interest and is convertible into shares of common stock at $2.50 per share.
( 5 )Each share of Series B Preferred Stock is convertible at any time at the election of the Reporting Person into an equal number of shares of common stock and does not have an expiration date.
( 6 )The Reporting Person exchanged the $100,000 secured convertible promissory note for $16,689 in cash and a warrant to purchase 41,703 shares of common stock.

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