SEC Form 4 · accession 0001144204-17-058518
LILIS ENERGY, INC. · LLEX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Seth D Blackwell Blackwell
Officer — See Remarks
Period of report
Nov 9, 2017
Accepted (ET)
Nov 13, 2017 · 7:38 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001437557
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F1,F2 | $4.48 | Nov 9, 2017 | A | 100,000 | A | — | May 2, 2027 | Common Stock | 100,000 | 100,000 | D |
Explanation of responses
- F1Represents options to purchase common stock granted by Lilis Energy, Inc. ("Lilis") pursuant to the 2016 Omnibus Incentive Plan. The Reporting Person was granted an option to purchase 200,000 shares of common stock on May 2, 2017, which vests upon Lilis achieving specific performance criteria, subject to continued service through up to each vesting date. The performance criteria for two installments were met, resulting in the vesting of the option as to 100,000 shares.
- F2This option to purchase common stock expires ten years from the grant date.
Remarks
EVP - Land and Business Development