SEC Form 4/A · accession 0001683692-16-000011
LILIS ENERGY, INC. · LLEX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Period of report
Sep 19, 2016
Accepted (ET)
Sep 23, 2016 · 5:09 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 StockF3 | Sep 19, 2016 | S | 10,000 | $3.10 | D | 1,853,946 | I | See Footnote 3 |
| Common StockF3 | Sep 19, 2016 | S | 20,000 | $3.30 | D | 1,833,946 | I | See Footnote 3 |
| Common StockF4,F3 | Sep 19, 2016 | S | 127,600 | $3.50 | D | 1,706,346 | I | See Footnote 3 |
| Common StockF3 | Sep 19, 2016 | S | 10,000 | $3.01 | D | 1,696,346 | I | See Footnote 3 |
| Common StockF2,F1 | holding | — | — | — | 195,650 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WarrantF3,F5 | $25.00 | holding | — | — | — | Jun 23, 2016 | Jun 23, 2018 | Common Stock | 200,000 | 200,000 | I |
Explanation of responses
- F1This represents shares of Issuer common stock held by the reporting person Sean O'Sullivan Revocable Living Trust. The natural person with ultimate voting control or investment control over the shares of common stock held by Sean O'Sullivan Revocable Living Trust is Sean O'Sullivan.
- F2Due to a clerical error, the reporting person is filling this Amendment to correct the previously reported Form 4 filed on September 21, 2016 that incorrectly reported the disposition of shares from the Reporting Person instead of from SOSV Investments LLC. This amendment is being filed to correct that error.
- F3This represents shares of Issuer common stock held by SOSV Investments LLC f/k/a SOSventures LLC. The natural person with ultimate voting control or investment control over the shares of common stock held by SOSV Investments LLC is Sean O'Sullivan, who is also the natural person with ultimate voting control or investment control over the reporting person.
- F4The reported price in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $3.50 to $3.52 per share, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
- F5The exercise price is subject to downward adjustment if, prior to nine months after June 23, 2016, the Issuer issues warrants in a capital raising transaction that entitle the holder to acquire common stock at a price per share that is less than $25.00
Remarks
This report on Form 4/A amends and replaces in its entirety the Form 4 filed by the Reporting Person on September 19, 2016 that incorrectly reported the disposition of shares in the four transactions provided therein as sales from the Reporting Person instead of sales from SOSV Investments LLC. This amendment is being filed to correct such error. Ex 24 - Power of Attorney filed on September 9, 2016