SEC Form 4 · accession 0001144204-16-137721
Samson Oil & Gas LTD · SSN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mark Ulmer
Officer — VP -Engineering & Operations
Period of report
Nov 30, 2016
Accepted (ET)
Dec 2, 2016 · 4:26 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 Shares | Nov 30, 2016 | A | 5,704,200 | $0.00 | A | 5,704,200 | D |
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 | $0.0041 | Nov 30, 2016 | A | 48,000,000 | A | — | Nov 16, 2026 | Ordinary Shares | 48,000,000 | 48,000,000 | D |
Explanation of responses
- F1The exercise price is priced in Australian dollars. This is the U.S. dollar equivalent of the price of A$0.0055 using the rate of exchange published by the Reserve Bank of Australia for December 1, 2016 (A$1.00=US$0.7408).
- F2The options will fully vest and become exercisable on 11/16/2017 if the Reporting Person has been continuously employed by the Registrant in his current position on that date.
Remarks
Samson Oil & Gas Limited Exhibit 24.1 - Power of Attorney