SEC Form 4 · accession 0001593968-17-000621
Amplify Energy Corp. · AMPY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Nelson M Haight
Officer — EVP and CFO
Period of report
Apr 21, 2017
Accepted (ET)
Apr 25, 2017 · 2:02 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001533924
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Apr 21, 2017 | M | 15,865 | $18.75 | A | 15,965 | D | |
| Common Stock | Apr 21, 2017 | F | 4,339 | $18.75 | D | 11,626 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Option (Employee Right to Buy)F1 | $19.66 | holding | — | — | — | — | Oct 21, 2026 | Common Stock | 95,228 | 95,228 | D |
Explanation of responses
- F1In accordance with the Plan, the Reporting Person received an award of restricted stock units and stock options (Options) granted on the Effective Date, 1/6 of which will vest on 4/21/2017, an additional 1/6 of which will vest on 10/21/2017, an additional 1/3 of which will vest on 10/21/2018 and the final 1/3 of which will vest on 10/21/2019.