Replies to post #36580 on QS Energy Inc (QSEP)
Don Dickson 08/05/2016
**Signature of Reporting Person Date
Explanation of Responses:
* 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).
(1) Reporting Person acquired Issuer's Convertible Note in the principal amount of $77,000, for a purchase price of $70,000, convertible into 770,000 shares of common stock of Issuer.
(2) Not applicable.
(3) Reporting Person acquired Issuer's Warrants as part of Reporting Person's purchase of Issuer's Convertible Note reported above.
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