SEC Form 4 · accession 0001213900-16-010211
LILIS ENERGY, INC. · LLEX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
R Glenn Dawson
Director
Period of report
Jan 13, 2016
Accepted (ET)
Jan 15, 2016 · 5:32 pm EST
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 | Jan 13, 2016 | A | 100,000 | $0.00 | A | 100,000 | 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 | $0.18 | Jan 13, 2016 | A | 450,000 | A | — | — | Common Stock | 450,000 | 450,000 | D |
Explanation of responses
- F1Granted by Issuer in connection with Reporting Person's compensation under the Non-Employee Director Award Agreement between the Issuer and Reporting Person, dated January 13, 2016. The shares vest in three equal installments on each of January 13, 2017, January 13, 2018 and January 13, 2019.
- F2This 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 January 13, 2017, January 13, 2018 and January 13, 2019.
- F3This option to purchase common stock expires five years from the date the options first vest and become exercisable.