- Initial Statement of Beneficial Ownership (3)
25 March 2011 - 7:43AM
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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OMB APPROVAL
OMB Number:
3235-0104
Expires:
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
*
ZILKHA MICHAEL
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2. Date of Event Requiring Statement (MM/DD/YYYY)
3/16/2011
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3. Issuer Name
and
Ticker or Trading Symbol
Global Clean Energy Holdings, Inc. [GCEH.OB]
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(Last)
(First)
(Middle)
1001 MCKINNEY, SUITE 1900
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
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X
___ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Street)
HOUSTON, TX 77002
(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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Common Stock
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23890000
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D
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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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Convertible Promissory Note
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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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$0.03
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D
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Warrant
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3/16/2010
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3/16/2013
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Common Stock
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945000
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$0.03
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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 Mr. Zilkha 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 Mr. Zilkha'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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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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ZILKHA MICHAEL
1001 MCKINNEY, SUITE 1900
HOUSTON, TX 77002
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X
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Signatures
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/s/ MICHAEL ZILKHA
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3/24/2011
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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 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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