SEC Form 4 · accession 0001437557-18-000031
LILIS ENERGY, INC. · LLEX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mark Daniel Christensen
Director
Period of report
Sep 5, 2018
Accepted (ET)
Sep 7, 2018 · 7:18 am 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 | Sep 5, 2018 | X | 600,000 | $1.30 | A | 600,000 | I | See Footnote |
| Common StockF2,F1 | Sep 5, 2018 | F | 142,857 | $5.46 | D | 457,143 | I | See Footnote |
| Common Stock | holding | — | — | — | 23,954 | D | ||
| Common StockF3 | holding | — | — | — | 1,138,446 | I | See Footnote | |
| Common StockF4 | holding | — | — | — | 179,347 | I | See Footnote |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrant (right to buy)F2,F5 | $1.30 | Sep 5, 2018 | X | 600,000 | D | Sep 17, 2016 | Sep 17, 2018 | Common Stock | 600,000 | 220,000 | I |
Explanation of responses
- F1These securities are held indirectly for the benefit of KES 7 Capital Inc., for which Reporting Person is the natural person with ultimate voting and dispositive power.
- F2On September 5, 2018, the Reporting Person provided notice of exercise of warrants to purchase 457,143 shares of LLEX common stock for $1.30 a share on a cashless basis. Issuer executed the transaction on September 5, 2018, based on September 4, 2018 stock prices, resulting in LLEX withholding 142,857 shares to pay the exercise price.
- F3These securities are held indirectly by Trace Capital Inc. for which the Reporting Person's wife is the natural person with sole voting and dispositive power.
- F4These securities are held indirectly through Christensen GM&P Holding Corp., for which Reporting Person is the natural person with ultimate voting and dispositive power.
- F5These securities are held indirectly for the benefit of KES 7 Capital Inc. for which the Reporting Person is the natural person with ultimate voting and dispositive power.