SEC Form 4 · accession 0001144204-17-022801
LILIS ENERGY, INC. · LLEX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Nuno Brandolini
Director
Period of report
Apr 25, 2017
Accepted (ET)
Apr 27, 2017 · 9:28 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 | Apr 25, 2017 | X | 40,000 | — | A | 442,061 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrant (right to buy) | $0.10 | Apr 25, 2017 | X | 40,000 | D | May 6, 2016 | May 6, 2019 | Common Stock | 40,000 | 0 | D |
Explanation of responses
- F1The common stock purchase warrant held by the Reporting Person was exercised at an exercise price of $0.10 per share and was set to expire on May 6, 2019.
- F2Includes 10,000 Restricted Stock Units that have previously vested.