SEC Form 4 · accession 0001144204-18-035226
LILIS ENERGY, INC. · LLEX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
R Glenn Dawson
Director
Period of report
May 18, 2018
Accepted (ET)
Jun 22, 2018 · 6:08 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 | May 18, 2018 | X | 145,001 | $2.50 | A | 795,579 | D | |
| Common Stock | May 18, 2018 | F | 81,829 | $4.43 | D | 713,750 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrants (Right to Buy) | $2.50 | May 18, 2018 | X | 20,000 | D | Mar 18, 2016 | May 18, 2018 | Common Stock | 20,000 | 0 | D |
| Warrants (Right to Buy) | $2.50 | May 18, 2018 | X | 56,819 | D | Aug 24, 2016 | May 18, 2018 | Common Stock | 56,819 | 0 | D |
| Warrant (Right to Buy) | $2.50 | May 18, 2018 | X | 68,182 | D | May 3, 2017 | May 18, 2018 | Common Stock | 68,182 | 0 | D |
Explanation of responses
- F1On May 18, 2018, the reporting person provided notice of exercise of his warrant to purchase 145,001 shares of common stock for $2.50 a share on a cashless basis. Issuer executed the transaction on May 18, 2018 based on May 17, 2018 stock prices resulting in LLEX withholding 81,829 shares to pay the exercise price.