SEC Form 4 · accession 0001006655-16-000083
EVOLUTION PETROLEUM CORP · EPM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Randall D Keys
Officer — President and CEO
Period of report
Feb 22, 2016
Accepted (ET)
Feb 24, 2016 · 4:33 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 | Feb 22, 2016 | D | 4,477 | $0.00 | D | 214,603 | 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 | Feb 22, 2016 | D | 7,463 | D | — | Aug 28, 2018 | Common Stock | 7,463 | 33,325 | D |
Explanation of responses
- F1At the Company's request, the employee elected to voluntarily relinquish 14,925 restricted performance-based shares and 7,463 contingent performance-based shares in exchange for 10,448 shares of service based restricted stock subject to vesting on August 28, 2016, August 28, 2017 and August 28, 2018.