SEC Form 4 · accession 0001144204-16-135750
Samson Oil & Gas LTD · SSN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
Terence Maxwell Barr
Officer — See Remarks · Director
Period of report
Nov 18, 2016
Accepted (ET)
Nov 21, 2016 · 8:36 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001404079
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Ordinary SharesF1 | Nov 18, 2016 | A | 16,258,000 | $0.00 | A | 22,474,785 | I | See Foonote |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Options to Purchase Ordinary SharesF1,F2,F3 | $0.0052 | Nov 18, 2016 | A | 60,000,000 | A | — | Nov 15, 2026 | Ordinary Shares | 60,000,000 | 60,000,000 | I |
Explanation of responses
- F1The Terence M. Barr Superannuation Fund (the "Fund") is the record owner of the securities set forth herein. William G. Dartnell is trustee of the Fund. The reporting person is a beneficiary of the Fund.
- F2The exercise price is priced in Australian dollars. This is the U.S. dollar equivalent of the price of A$0.007 using the rate of exchange published by the Reserve Bank of Australia for November 18, 2016 (A$1.00=US$0.7394).
- F3The options will fully vest on November 17, 2017 (the one-year anniversary of shareholder approval of the plan pursuant to which the options were granted) so long as the reporting person remains managing director and chief executive officer of SSN on such date.
Remarks
Chief Executive Officer, President, Managing Director