SEC Form 4 · accession 0001144204-18-034486

LILIS ENERGY, INC. · LLEX

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

Reporting owner

Officer — Executive Chairman / CEO · Director

Period of report

Jun 1, 2018

Accepted (ET)

Jun 18, 2018 · 6:06 am 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 Stock^F1	Jun 1, 2018	X	522,728	$2.50	A	4,549,981	I	See Footnote
Common Stock^F3,F1	Jun 1, 2018	F	219,634	$5.95	D	4,330,347	I	See Footnote

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Warrant (right to buy)^F1	$2.50	Jun 1, 2018	X	522,728	D	Jun 22, 2016	Jun 22, 2018	Common Stock	522,728	0	I

F1These securities referenced in Column 4 of Table 1 and Column 5 of Table 2 are held by Perugia Investments L.P. Reporting Person is the manager of Perugia and has sole voting and dispositive power over the securities held by Perugia.
F2On June 1, 2018, the reporting person provided notice of exercise of its warrant to purchase 522,728 shares of LLEX common stock for $2.50 a share on a cashless basis. Issuer executed the transaction on June 8, 2018, based on May 31, 2018 stock prices, resulting in LLEX's withholding of 219,634 of the warrant shares to pay the exercise price and issuing to the reporting person the remaining 303,094 shares.
F3Of the securities referenced in Column 5, 2,706,792 shares of common stock are held by Perugia Investments L.P., 1,583,555 shares of common stock are held directly by Mr. Ormand, and 40,000 shares of common stock are held the Bruin Trust, an irrevocable trust managed by Jerry Ormand, Mr. Ormand's brother, as trustee and whose beneficiaries include the adult children of Mr. Ormand.

Exhibits: Exhibit 24.1 - Power of Attorney