SEC Form 4/A · accession 0001144204-17-001643
Samson Oil & Gas LTD · SSN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Peter J Hill
Director · Other
Period of report
Nov 18, 2016
Accepted (ET)
Jan 10, 2017 · 5:06 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 18, 2016 | A | 8,818,800 | $0.0035 | A | 8,818,800 | D | |
| Ordinary Shares | Nov 18, 2016 | F | 3,527,600 | $0.0035 | D | 5,291,200 | 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 | $0.0052 | Nov 18, 2016 | A | 30,000,000 | A | — | Nov 15, 2026 | Ordinary Shares | 30,000,000 | 30,000,000 | D |
Explanation of responses
- F1The exercise price is priced in Australian dollars. This is the U.S. dollar equivalent of the price of A$0.007 using the rate of exchange published by the Reserve Bank of Australia for November 18, 2016 (A$1.00=US$0.7394).
- F2The 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 a director of SSN on such date.