SEC Form 4 · accession 0001144204-16-121254
GRAN TIERRA ENERGY INC. · GTE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Glen W Mah
Officer — See Remarks
Period of report
Aug 23, 2016
Accepted (ET)
Aug 25, 2016 · 5:04 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001273441
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Aug 23, 2016 | C | 35,000 | $0.00 | A | 50,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Subscription ReceiptF1 | $0.00 | Aug 23, 2016 | C | 35,000 | D | — | — | Common Stock | 35,000 | 0 | D |
Explanation of responses
- F1On July 8, 2016, the reporting person acquired 35,000 Subscription Receipts. On August 23, 2016, upon satisfaction of certain previously disclosed conditions, each Subscription Receipt was automatically convertible into one share of the Issuer's common stock without the payment of additional consideration or further action on the part of the reporting person.
Remarks
Vice President, Business Development