- Statement of Changes in Beneficial Ownership (4)
22 March 2011 - 10:26AM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0287
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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(f) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
ROLL ENERGY INVESTMENTS LLC
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2. Issuer Name
and
Ticker or Trading Symbol
Global Clean Energy Holdings, Inc.
[
GCEH.OB
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director
__
X
__ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Last)
(First)
(Middle)
11444 WEST OLYMPIC BLVD., 10TH FLOOR
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3. Date of Earliest Transaction
(MM/DD/YYYY)
3/16/2011
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(Street)
LOS ANGELES, CA 90064
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
___ Form filed by One Reporting Person
_
X
_ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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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. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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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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Convertible Promissory Note
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$.03
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3/16/2010
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A
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0
(1)
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(1)
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(1)
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Common Stock
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9450000
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$0
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10395000
(2)
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D
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Explanation of Responses:
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(
1)
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On March 16, 2010, the Issuer issued to Roll a convertible promissory note in the principal amount of $283,500 (the "Note").
The terms of the Note provide that it may be converted into shares of the Issuer's common stock at any time following the
first anniversary of its issuance at a conversion price of $0.03 per share. The Note has not been converted at this time,
but as of March 16, 2011, the Note is convertible at Roll's option into 9,450,000 shares of the Issuer's common stock based
on a conversion price of $0.03.
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(
2)
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Includes 9,450,000 shares of the Issuer's common stock issuable upon conversion of the Note, and 945,000 shares of the
Issuer's common stock issuable upon exercise of currently outstanding warrants.
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Remarks:
ADDITIONAL REPORTING PERSONS
The designated filer for this Form 4 is Roll Energy Investments, the record owner of securities of the Issuer disclosed
herein and in a Form 3 filed with the United States Securities and Exchange Commission on September 21, 2010.
Stewart A. Resnick is identified herein as an additional beneficial owner of the Issuer's securities directly held by Roll.
Mr. Resnick is the sole manager of Roll, and in that capacity, has the power to vote, or to direct the vote, and to dispose
of, or to direct the disposition of, the securities held by Roll. As a result of Mr. Resnick's control over Roll, he is
deemed to beneficially own the securities held by Roll. As of March 16, 2011, Mr. Resnick did not directly own any
securities of the Issuer.
The business address of Mr. Resnick is 11444 West Olympic Boulevard, 10th Floor, Los Angeles, California 90064.
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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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ROLL ENERGY INVESTMENTS LLC
11444 WEST OLYMPIC BLVD., 10TH FLOOR
LOS ANGELES, CA 90064
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X
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RESNICK STEWART A
11444 WEST OLYMPIC BLVD., 10TH FLOOR
LOS ANGELES, CA 90064
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X
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Signatures
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ROLL ENERGY INVESTMENTS LLC, Name: Stewart Resnick, Title: Manager, /s/ STEWART RESNICK
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3/18/2011
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**
Signature of Reporting Person
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Date
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STEWART A. RESNICK /s/ STEWART RESNICK
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3/18/2011
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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 4(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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