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Form 3 Jayhawk Energy, Inc. For: Sep 20 Filed by: Smart Shawn B

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September 29, 2016 3:27 PM EDT
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0104
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hours per response: 0.5
1. Name and Address of Reporting Person *
Smart Shawn B
(Last) (First) (Middle)
387 RIVER CIRCLE
(Street)
ALPINE UT 84004
(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
09/20/2016 		3. Issuer Name and Ticker or Trading Symbol
Jayhawk Energy, Inc. [ JYHW ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
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 Owned
1. 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 39,624,719
I (1)
By Smart Oil, LLC
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Convertible Promissory Note 09/20/2016 09/19/2018 Common stock 1,000,000 0.0065 I (1) By Smart Oil, LLC
Stock Purchase Warrant 10/08/2015 10/07/2020 Common stock 23,583,418 0.005 I (1) By Smart Oil, LLC
Explanation of Responses:
1. Mr. Shawn Smart is the Managing Member of Smart Oil, LLC, and therefore is deemed to be a Beneficial Owner of Smart Oil, LLC's ownership interests in JayHawk Energy, Inc. by virtue of the voting and dispositive control Mr. Smart has over Smart Oil, LLC. Mr. Smart disclaims any Beneficial Ownership in the JayHawk Energy Inc. interests.
/s/ Shawn Smart 09/23/2016
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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 Number.

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