SEC Form 4 · accession 0001213900-15-002934
LILIS ENERGY, INC. · LLEX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
G Tyler Runnels
Director
Period of report
Apr 20, 2015
Accepted (ET)
Apr 22, 2015 · 8:38 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 StockF2,F1 | Apr 20, 2015 | A | 100,000 | $0.00 | A | 2,753,675 | I | By Runnels Family Trust DTD-11-2000 |
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)F2,F1,F3,F4 | $1.65 | Apr 20, 2015 | A | 450,000 | A | — | — | Common Stock | 450,000 | 450,000 | I |
Explanation of responses
- F12,653,675 of the shares are indirectly held by Reporting Person and are attributable to the The Runnels Family Trust DTD-11-2000. The Reporting Person, with Jasmine N. Runnels, is trustee of the Runnels family trust.
- F2Granted by Issuer in connection with Reporting Person's compensation under the non-employee director award agreements between the Issuer and Reporting Person, dated April 20, 2015.
- F3This option to purchase common stock vests, and becomes exercisable, in four installments. 250,000 options which vest immediately and then in three equal installments on each of April 20, 2016, April 20, 2017 and April 20, 2018.
- F4This option to purchase common stock expires on the ten year anniversary of the grant date.
Remarks
EXHIBITS: Exhibit 24.1 - Power of Attorney