SEC Form 4 · accession 0001144204-18-036752

LILIS ENERGY, INC. · LLEX

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

Reporting owner

Director

Period of report

Jun 13, 2018

Accepted (ET)

Jun 29, 2018 · 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 Stock^F1	Jun 13, 2018	X	68,182	$2.50	A	1,171,544	I	See Footnote
Common Stock^F1	Jun 13, 2018	F	33,098	$5.15	D	1,138,446	I	See Footnote
Common Stock^F3	holding	—	—		—	179,347	I	See Footnote
Common Stock	holding	—	—		—	23,954	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Warrants (Right to Buy)^F2,F3	$2.50	Jun 13, 2018	X	68,182	D	Jun 22, 2016	Jun 22, 2018	Common Stock	68,182	0	I

F1These securities referenced are held indirectly by Trace Capital Inc. The Reporting Person's wife is the natural person with sole voting and dispositive power for the purchase of the 68,182 shares by Trace Capital Inc. In addition, the amount of securities shown as being held by Trace Capital Inc. in Footnote 5 of the preceding Form 4 dated April 20, 2018 was inadvertently reported in the aggregate amount as being 1,103,263 shares of common stock, instead of 1,103,362. The error has been corrected in this Form 4.
F2On June 13, 2018, the Reporting Person provided notice of exercise of warrants to purchase 68,182 shares of LLEX common stock for $2.50 a share on a cashless basis. Issuer executed the transaction on June 14, 2018, based on June 13, 2018 stock prices, resulting in LLEX withholding 33,098 shares to pay the exercise price.
F3These securities referenced are held indirectly through Christensen GM&P Holding Corp., for which Reporting Person is the natural person with ultimate voting and dispositive power.

Exhibits: Exhibit 24.1 - Power of Attorney