Was Initial Statement of Beneficial Ownership:
Initial Statement of Beneficial Ownership (3)
Source: Edgar (US Regulatory)
FORM 3
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB Number:3235-0104
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
1. Name and Address of Reporting Person *
MAINARDI ANGELA
2. Date of Event Requiring Statement (MM/DD/YYYY)4/7/2017
3. Issuer Name andTicker or Trading Symbol
Fortem Resources Inc. [FTMR]
(Last) (First) (Middle)
1503 COMMERCIAL DRIVE
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director ___ X ___ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Street)
VANCOUVER, A1 V5L 3Y1
(City) (State) (Zip)5. If Amendment, Date Original Filed(MM/DD/YYYY)
6. Individual or Joint/Group Filing (Check Applicable Line)
_ X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned1.Title of Security
(Instr. 4)2. Amount of Securities Beneficially Owned
(Instr. 4)3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)4. Nature of Indirect Beneficial Ownership
(Instr. 5)Common Stock 10000000 I Pacific Petroleum, LLC
Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities)1. Title of Derivate Security
(Instr. 4)2. Date Exercisable and Expiration Date
(MM/DD/YYYY)3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)4. Conversion or Exercise Price of Derivative Security5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)6. Nature of Indirect Beneficial Ownership
(Instr. 5)Date ExercisableExpiration DateTitleAmount or Number of Shares
Explanation of Responses:
Reporting Owners
Reporting Owner Name / AddressRelationshipsDirector10% OwnerOfficerOtherMAINARDI ANGELA
1503 COMMERCIAL DRIVE
VANCOUVER, A1 V5L 3Y1
X
Signatures
/s/ Angela Mainardi5/15/2017** Signature of Reporting PersonDate
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