SEC Form 4 · accession 0001006655-17-000024
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
Aug 10, 2017
Accepted (ET)
Aug 10, 2017 · 4:53 pm EDT
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 | Aug 10, 2017 | M | 3,731 | $8.05 | A | 261,899 | D | |
| Common StockF2 | Aug 10, 2017 | F | 1,566 | $8.05 | D | 260,333 | 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 | Aug 10, 2017 | M | 3,731 | D | — | Aug 28, 2018 | Common Stock | 3,731 | 0 | D |
Explanation of responses
- F1Contingent Restricted Stock award granted on August 28, 2014 that vested upon attainment of a specific performance goal.
- F2Shares surrendered to the Company to pay income tax withholding obligations.