SEC Form 4/A · accession 0001413507-18-000092
SRC Energy Inc. · SRCI
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
Cathleen M Osborn
Officer — Vice President/General Counsel
Period of report
Jan 29, 2018
Accepted (ET)
Apr 16, 2018 · 4:27 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001413507
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Jan 29, 2018 | A | 27,438 | $0.00 | A | 112,910 | D | |
| Common StockF3 | Mar 30, 2018 | F | 2,174 | $9.43 | D | 110,736 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Performance Share UnitsF4,F5 | $0.00 | Jan 29, 2018 | A | 27,438 | A | — | Dec 31, 2020 | Common Stock | 27,438 | 27,438 | D |
| Performance Share UnitsF4,F6 | $0.00 | Jan 29, 2018 | A | 23,519 | A | — | Dec 31, 2020 | Common Stock | 23,519 | 23,519 | D |
Explanation of responses
- F1This footnote has been revised to correct the date of vesting: i.e. Reflects a grant of restricted stock units ("RSUs") that will vest 33% on January 1, 2019, 33% on January 1, 2020 and 34% on January 1, 2021 provided that the recipient continues to provide substantial services to the Company or an affiliate continuously through the applicable vesting dates.
- F2The number of shares granted was determined by dividing the individual's Award Value for RSUs by the ten trading day volume weighted average closing price of one share of the Company's common stock, as reported by the NYSE American, for the period ending January 1, 2018 (being $8.259 per share), rounded to the nearest whole number.
- F3To satisfy tax withholding obligation related to vesting of restricted stock units.
- F4The number of shares granted was determined by dividing the individual's Award Value for PSUs by the ten trading day volume weighted average closing price of one share of the Company's common stock, as reported by the NYSE American, for the period ending January 1, 2018 (being $8.259 per share), rounded to the nearest whole number.
- F5The reporting person may vest in 0% - 200% of the Target Performance Share Units based on the relative Total Shareholder Return (TSR) of the Company between January 1, 2018 and December 31, 2020, as measured against the TSR of certain peer companies over that period, provided that the recipient continues to provide substantial services to the Company or an affiliate continuously from the grant date through December 31, 2020.
- F6The reporting person may vest in 0% - 200% of the Target Goal-Based Performance Share Units based on the Compensation Committee's assessment of the Company's achievement of goals identified over the performance period, provided that the recipient continues to provide substantial services to the Company or an affiliate continuously from the grant date through December 31, 2020.