SEC Form 4 · accession 0001593968-18-000520
Amplify Energy Corp. · AMPY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Richard Wayne McCullough
Officer — VP and CAO
Period of report
Mar 5, 2018
Accepted (ET)
Mar 7, 2018 · 7:39 pm EST
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 StockF1 | Mar 5, 2018 | A | 19,074 | $0.00 | A | 44,282 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Performance Stock UnitsF2,F3 | — | Mar 5, 2018 | A | 19,074 | A | — | — | Common Stock | 19,074 | 19,074 | D |
Explanation of responses
- F1The Reporting Person received an award of restricted stock units, which vests in three equal annual installments beginning on December 31, 2018.
- F2Each performance stock unit represents a contingent right to receive one share of common stock of Midstates Petroleum Company, Inc (the "Company"). The reported number of securities represents the target number of shares that may be earned.
- F3The performance stock units vest, if at all, at the conclusion of the performance period, commencing on January 1, 2018 and ending on December 31, 2020, based on the total stockholder return of the Company.