- Initial Statement of Beneficial Ownership (3)
28 Avril 2009 - 6:11PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0104
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February 28, 2011
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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
*
O'Brien Walter
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2. Date of Event Requiring Statement (MM/DD/YYYY)
4/13/2009
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3. Issuer Name
and
Ticker or Trading Symbol
American Environmental Energy, Inc. [AEEI]
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(Last)
(First)
(Middle)
650 TOWN CENTER DRIVE #860
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
__
X
__ Director
_____ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Street)
COSTA MESA, CA 92626
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Nonstatutory Stock Option (right to purchase)
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4/13/2009
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4/13/2014
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Common Stock
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75000
(1)
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$.10
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D
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Nonstatutory Stock Option (right to purchase)
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4/13/2010
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4/13/2014
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Common Stock
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75000
(1)
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$.10
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D
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Nonstatutory Stock Option (right to purchase)
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4/13/2011
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4/13/2014
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Common Stock
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75000
(1)
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$.10
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D
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Nonstatutory Stock Option (right to purchase)
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4/13/2012
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4/13/2014
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Common Stock
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75000
(1)
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$.10
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D
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Explanation of Responses:
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(
1)
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Reporting person was granted an option to purchase a total of 300,000 shares of Common Stock which shares vest and are exercisable equally on the dates shown.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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O'Brien Walter
650 TOWN CENTER DRIVE #860
COSTA MESA, CA 92626
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X
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Signatures
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/s/ Walter O'Brien
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4/28/2009
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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