SEC Form 4 · accession 0001213900-16-012742
LILIS ENERGY, INC. · LLEX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ariella S Fuchs
Officer — General Counsel and Secretary
Period of report
Apr 20, 2016
Accepted (ET)
Apr 22, 2016 · 6:03 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 | Apr 20, 2016 | D | 50,000 | $0.00 | D | 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 | $0.96 | Apr 20, 2016 | D | 300,000 | D | — | — | Common Stock | 300,000 | 300,000 | D |
Explanation of responses
- F1Reflects cancellation of awards granted under the Issuer's 2012 Equity Compensation Plan ("EIP) by the Issuer.