Form4insider filings, from the source

SEC Form 5 · accession 0000899243-19-003763

LILIS ENERGY, INC. · LLEX

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owners
Varde Skyway Fund, L.P.
Director · 10% Owner
Varde Fund XI G.P., LLC
Director · 10% Owner
Varde Fund XII G.P., L.P.
Director · 10% Owner
Varde Fund XII (Master), L.P.
Director · 10% Owner
Varde Skyway Master Fund, L.P.
Director · 10% Owner
Varde Fund XI (Master), L.P.
Director · 10% Owner
Varde Skyway fund G.P., LLC
Director · 10% Owner
Varde Fund XII UGP, LLC
Director · 10% Owner
George G Hicks
Director · 10% Owner
Period of report
Dec 31, 2018
Accepted (ET)
Feb 14, 2019 · 8:27 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001437557

Table I — non-derivative securities

SecurityDateCodeSharesPriceA/DOwned afterD/INature of ownership
Common StockF1,F2,F4,F15,F16,F17Dec 26, 2018J773,859—D47,486,944ISee footnotes
Common StockF1,F2,F4,F15,F16,F17Dec 26, 2018J627,929—A47,486,944ISee footnotes
Common StockF1,F2,F4,F15,F16,F17Dec 26, 2018J145,930—A47,486,944ISee footnotes

Table II — derivative securities

SecurityConv. / exercise priceDateCodeSharesA/DExercisableExpiresUnderlyingUnderlying sharesOwned afterD/I
Series C-1 9.75% Convertible Participating Preferred StockF1,F2,F5,F6,F15,F16,F17,F12$6.15Dec 26, 2018J13,000DJan 30, 2018—Common Stock, $0.001 par value2,642,276100,000I
Series C-1 9.75% Convertible Participating Preferred StockF1,F2,F5,F6,F15,F16,F17,F12$6.15Dec 26, 2018J10,549AJan 30, 2018—Common Stock, $0.001 par value2,144,106100,000I
Series C-1 9.75% Convertible Participating Preferred StockF1,F2,F5,F6,F15,F16,F17,F12$6.15Dec 26, 2018J2,451AJan 30, 2018—Common Stock, $0.001 par value498,171100,000I
Series C-2 9.75% Convertible Participating Preferred StockF1,F2,F7,F8,F15,F16,F17,F13$6.15Dec 26, 2018J3,250DOct 10, 2018—Common Stock, $0.001 par value660,56925,000I
Series C-2 9.75% Convertible Participating Preferred StockF1,F2,F7,F8,F15,F16,F17,F13$6.15Dec 26, 2018J2,637AOct 10, 2018—Common Stock, $0.001 par value535,97625,000I
Series C-2 9.75% Convertible Participating Preferred StockF1,F2,F7,F8,F15,F16,F17,F13$6.15Dec 26, 2018J613AOct 10, 2018—Common Stock, $0.001 par value124,59325,000I
Series D 8.25% Convertible Participating Preferred StockF1,F2,F9,F10,F15,F16,F17,F14$5.50Dec 26, 2018J5,103DOct 10, 2018—Common Stock, $0.001 par value1,159,77339,254I
Series D 8.25% Convertible Participating Preferred StockF1,F2,F9,F10,F15,F16,F17,F14$5.50Dec 26, 2018J4,141AOct 10, 2018—Common Stock, $0.001 par value841,66739,254I
Series D 8.25% Convertible Participating Preferred StockF1,F2,F9,F10,F15,F16,F17,F14$5.50Dec 26, 2018J962AOct 10, 2018—Common Stock, $0.001 par value195,52839,254I
Convertible DebtF3,F11,F15,F16,F17$5.50Dec 27, 2018J—DOct 10, 2018Apr 26, 2021Common Stock, $0.001 par value1,821,958—I
Convertible DebtF3,F11,F15,F16,F17$5.50Dec 27, 2018J—AOct 10, 2018Apr 26, 2021Common Stock, $0.001 par value1,478,385—I
Convertible DebtF3,F11,F15,F16,F17$5.50Dec 27, 2018J—AOct 10, 2018Apr 26, 2021Common Stock, $0.001 par value343,573—I

Explanation of responses

Remarks

Due to limitations of the electronic filing system, certain Reporting Persons are filing a separate Form 4. Markus Specks, Managing Director of Varde Partners, Inc., and John Johanning, Director of Varde Partners, Inc., serve on the Issuer's Board of Directors as the Varde Parties' representatives. Therefore, for purposes of Section 16 of the Securities Exchange Act of 1934, the Reporting Persons may be deemed directors by deputization of the Issuer.