SEC Form 4 · accession 0001140361-16-070910
Brushy Resources, Inc.
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Peter Benz
Director
Period of report
Jun 23, 2016
Accepted (ET)
Jun 27, 2016 · 5:44 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001554970
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Jun 23, 2016 | D | 2,274,778 | — | D | 0 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1These shares were disposed of upon the completion of the merger in accordance with the Agreement and Plan of Merger, dated as of December 29, 2015, as amended on January 20, 2016, March 24, 2016 and June 22, 2016, by and among the Issuer, Lilis Energy, Inc., and Lilis Merger Sub, Inc. (the "Merger Agreement"). Pursuant to the Merger Agreement, on June 23, 2016, Lilis Merger Sub, Inc. was merged (the "Merger") with and into the Issuer and each share of the Issuer's common stock was converted into the right to receive 4.550916 shares of common stock of Lilis Energy, Inc. In accordance with the Merger Agreement, the reporting person resigned as a Chairman of Board of Director and Director of the Issuer effective as of the effective time of the Merger.