SEC Form 5 · accession 0000950103-17-001010
Kosmos Energy Ltd. · KOS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Brian F Maxted
Officer — Chief Exploration Officer · Director
Period of report
Dec 31, 2016
Accepted (ET)
Feb 2, 2017 · 5:07 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001509991
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common SharesF1,F2 | Jun 1, 2016 | G | 13,821 | $0.00 | A | 1,745,292 | D | |
| Common SharesF1,F2,F3 | Jun 1, 2016 | G | 13,821 | $0.00 | A | 1,175,397 | I | See footnote |
| Common SharesF2,F4 | holding | — | — | — | 6,729,864 | I | See footnote | |
| Common SharesF2,F5 | holding | — | — | — | 474,625 | I | See footnote |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Gift by the Reporting Person to his wife on June 1, 2016.
- F2The reported shares reflect ownership as of December 31, 2016.
- F3These shares are directly held by the reporting person's wife. The reporting person disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein.
- F4These shares are directly owned by Maxted Family Investments, Ltd., an entity controlled by the reporting person. The reporting person disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein.
- F5These shares are directly owned by Maxted Holdings, LLC, an entity controlled by the reporting person. The reporting person disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein.