SEC Form 4 · accession 0001213900-15-002516
LILIS ENERGY, INC. · LLEX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ariella S Fuchs
Officer — General Counsel
Period of report
Mar 16, 2015
Accepted (ET)
Apr 7, 2015 · 9:08 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 | Mar 16, 2015 | A | 50,000 | $0.00 | A | 50,000 | D |
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,F3 | $0.96 | Mar 16, 2015 | A | 300,000 | A | — | — | Common Stock | 300,000 | 300,000 | D |
Explanation of responses
- F1Granted by Issuer in connection with Reporting Person's compensation under the Employment Agreement between the Issuer and Reporting Person, dated March 16, 2015.
- F2This option to purchase common stock vests, and becomes exercisable, in three equal installments on each of March 16, 2016, March 16, 2017 and March 16, 2018.
- F3This option to purchase common stock expires upon the earlier of (a) five (5) years from the date the options vest and become exercisable or (b) March 16, 2025.