SEC Form 4 · accession 0001144204-16-110061
LILIS ENERGY, INC. · LLEX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Peter Benz
Director
Period of report
Jun 23, 2016
Accepted (ET)
Jun 27, 2016 · 5:39 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001437557
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Jun 23, 2016 | A | 45,510 | — | A | 45,510 | D | |
| Common StockF1,F2,F3,F6 | Jun 23, 2016 | A | 341,553 | — | A | 387,063 | I | See Footnotes |
| Common StockF1,F2,F4,F6 | Jun 23, 2016 | A | 399,096 | — | A | 786,159 | I | See Footnotes |
| Common StockF1,F2,F5,F6 | Jun 23, 2016 | A | 249,075 | — | A | 1,035,234 | I | See Footnotes |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1All share amounts that appear in this report have been adjusted to reflect a 1-for-10 reverse stock split of Lilis Energy, Inc.'s outstanding common stock effected on June 23, 2016.
- F2On June 23, 2016, pursuant to an Agreement and Plan of Merger, dated as of December 29, 2015, as amended on January 20, 2016, March 24, 2016 and June 22, 2016, by and among Lilis Energy, Inc. ("Issuer"), Lilis Merger Sub, Inc., a wholly owned subsidiary of Issuer ("Merger Sub"), and Brushy Resources, Inc. ("Brushy"), Merger Sub merged with and into Brushy, with Brushy continuing as the surviving entity and a wholly owned subsidiary of the Issuer (the "Merger"). As a result of the Merger, the shares of Brushy common stock were exchanged for shares of Issuer common stock at a ratio of 0.4550916 shares of Issuer common stock for every one share of Brushy common stock. This represents shares of Brushy common stock that were exchanged for shares of Issuer common stock in connection with the Merger.
- F3This represents shares of Issuer common stock held by LMIF Investments, LLC ("LMIF"). The natural persons with ultimate voting or investment control over the shares of common stock held by LMIF are the reporting person, S. Michael Rudolph and Merrick Okamoto. As a result, the reporting person may be deemed to have voting or investment control over these shares.
- F4This represents shares of Issuer common stock held by Longview Marquis Master Fund, L.P. ("Longview"). The natural persons with ultimate voting or investment control over the shares of common stock held by Longview are the reporting person, S. Michael Rudolph and Merrick Okamoto. As a result, the reporting person may be deemed to have voting or investment control over these shares.
- F5This represents shares of Issuer common stock held by SMF Investments, LLC ("SMF"). The natural persons with ultimate voting or investment control over the shares of common stock held by SMF are the reporting person, S. Michael Rudolph and Merrick Okamoto. As a result, the reporting person may be deemed to have voting or investment control over these shares.
- F6The reporting person disclaims beneficial ownership of the securities reported herein except to the extent of his pecuniary interest therein. The filing of this statement shall not be deemed to be an admission that, for purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise, the reporting person is the beneficial owners of any securities reported herein.