SEC Form 4 · accession 0001437557-18-000037
LILIS ENERGY, INC. · LLEX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
Mark Daniel Christensen
Director
Period of report
Sep 13, 2018
Accepted (ET)
Sep 17, 2018 · 3:26 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 | Sep 13, 2018 | X | 220,000 | $1.30 | A | 677,143 | I | See Footnote |
| Common StockF2,F1 | Sep 13, 2018 | S | 52,865 | $5.41 | D | 624,278 | 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 13, 2018 | X | 220,000 | D | Sep 17, 2016 | Sep 17, 2018 | Common Stock | 220,000 | 0 | 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 13, 2018, the Reporting Person provided notice of exercise of warrants to purchase 220,000 shares of common stock for $1.30 per share on a cashless basis. Issuer executed the transaction on September 13, 2018, based on September 12, 2018 stock prices, resulting in issuer withholding 52,865 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 referenced 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 by KES 7 Capital Inc., for which Reporting Person is the natural person with ultimate voting and dispositive power.