SEC Form 4 · accession 0001006655-16-000065
EVOLUTION PETROLEUM CORP · EPM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Daryl V Mazzanti
Other
Period of report
Dec 31, 2015
Accepted (ET)
Jan 5, 2016 · 4:42 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001006655
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Dec 31, 2015 | D | 22,369 | $0.00 | D | 673,307 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Contingent Performance Stock GrantF1 | $0.00 | Dec 31, 2015 | D | 11,185 | D | — | Aug 28, 2018 | Common Stock | 11,185 | 0 | D |
Explanation of responses
- F1Unvested shares are automatically forfeited due to the end of employment as of December 31, 2015.